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Dr. Christina Mubarak Shanti, MD is a pediatric general surgeon in Detroit, MI specializing in pediatric general surgery. Dr. Christina Mubarak Shanti, MD is affiliated with Detroit Medical Center (DMC).
2799 West Grand Boulevard
Detroit, MI 48202
350 W Big Beaver Road Pediatric Surgery 1st Floor
Troy, MI 48084
3901 Beaubien Pediatric Surgery 2nd Floor
Detroit, MI 48201
Gallbladder Removal Surgery (Cholecystectomy)
The gallbladder is a small, pear-shaped organ on the right side of the upper abdomen, underneath the liver. Its purpose is to store bile, which is used to digest fat. Occasionally, the gallbladder can develop mineral stones, called gallstones. If they are large enough, gallstones can block the ducts in the gallbladder and cause swelling and infection. Gallstones can be treated with lifestyle changes and medication, but sometimes this is not enough. In these cases, it is best to remove the gallbladder before it can cause more serious problems. The surgical removal of the gallbladder is called a cholecystectomy.
Today, most gallbladder surgeries are done laparoscopically. Four tiny incisions are made in the abdomen, and small tools are inserted through these tiny incisions to perform the surgery. Because the incisions are much smaller, recovery time is much faster with this type of surgery. Patients are usually discharged from the hospital the same day. Sometimes, open surgery is used to remove a gallbladder. In this type of surgery, a cut about six inches long is made in the upper right abdomen. After the gallbladder is removed, it is sutured or stapled closed. With open surgery, patients usually stay in the hospital for two to three days to recover before they are discharged.
Gallbladder removal, like any surgery, carries some risks, such as bleeding, infection, or the development of blood clots. Doctors will tell patients how to minimize their risk for complications. After surgery, patients are advised to avoid strenuous activity for several days. They should not soak in a bath until their sutures or staples have been removed. Patients should wash hands before touching the area around the incision. It will take a couple of days until patients feel like themselves again and a few weeks until their scar has healed and faded.
Gastric Bypass Surgery
Gastric bypass surgery is a procedure that promotes weight loss by reducing the stomach and altering how the digestive system absorbs and processes food. The procedure treats morbid obesity, where one's weight impairs day-to-day function or poses serious health risks. Gastric bypass surgery is used only after other weight loss treatments are unsuccessful.
Generally, gastric bypass surgery is performed on patients who have a BMI of 40 or greater, or a BMI of 35 or greater with a weight-related health condition such as type 2 diabetes. Bariatric surgeons frequently expect patients to first attempt natural weight loss for about six months to prove to the surgeon that the patient is capable of maintaining a post-surgery diet and exercise regimen.
For obese patients, gastric bypass surgery has many potential health and weight benefits. Gastric bypass surgery restricts the amount of food the stomach contains, as well as:
During gastric bypass surgery, the stomach is stapled to reduce its size, and a small hole is created in the stomach and attached to the middle section of the small intestine. This direct connection between the stomach and the middle of the small intestine creates a channel for some food to bypass the normal route. By bypassing the upper small intestine and larger region of the stomach, food is not fully absorbed and patients do not retain the same amount of calories as before. This procedure is also sometimes referred to as "Roux-en-Y" gastric bypass surgery. Some bariatric surgeons may perform a "laparoscopic bypass" which uses a tiny camera (laparoscope) to guide the procedure.
Gastric bypass surgery is performed with general anesthesia and as preparation, a liquid diet is required for two weeks prior to undergoing the surgery. After the surgery, patients will spend about two days in the hospital and may miss work for two to three weeks. In the first month after the surgery, patients are only able to consume small portions of liquid or soft food. Even after reintroducing solid food, patients feel full quickly, sometimes after eating just two or three tablespoons. Some patients experience "dumping syndrome" (rapid processing of food into the small intestine), which is common during the recovery process. Gastric bypass surgery patients must also make permanent lifestyle changes. For example, gastric bypass patients are required to take vitamins for life after surgery and required to forever avoid certain foods, such as alcohol, sugar, and high fat food.
While the gastric bypass recovery process can be challenging, surgery results are usually swift: most gastric bypass surgery patients lose nearly half to two thirds of their starting weight within two years of surgery.
Skin Issues
The skin is the largest organ in the body, protecting and covering the more sensitive inner organs. Considering its size and that it is constantly exposed to the elements, the skin is usually relatively problem-free. However that doesn't mean that issues don't come up from time to time that might need the help of a professional. The most common skin issues that people seek medical help with are cosmetic issues, acne, eczema, dermatitis, psoriasis, and skin growths.
Professional cosmetic skin treatments exist to treat wrinkles, scars, dark spots, remove excess hair, tone and tighten skin, and otherwise improve the appearance of the skin. They may use lasers, light therapy, chemical peels, microdermabrasion, or many other forms of skin treatment.
Acne occurs when hair follicles become clogged with oil and dead skin cells, most commonly on the face or back. The clogged follicles can then become infected and inflamed. Treatments include antibiotics, anti-inflammatories, and retinoid creams.
Eczema is dry, sensitive skin that causes an itchy red rash, often in response to specific triggers. It is common in childhood but can sometimes last into adulthood. The main treatment involves keeping skin well moisturized.
Dermatitis is the medical name for any kind of skin inflammation or rash. Rashes can happen because of an allergy or contact with an irritating substance. They may be red, itchy, or even painful. They are often treated with antihistamines or moisturizing creams containing cortisone.
Psoriasis is patches of thick, red skin that is covered in silvery scales. It is often itchy and sore. Psoriasis is thought to be caused by an immune disorder, and it runs in families. Psoriasis is not contagious. There is no cure, but there are medicated creams available to treat the symptoms.
Skin growths, including warts and moles, are usually not serious. However, some skin growths should be examined by a doctor to make sure they don't cause problems in the future. Warts are harmless, rough, bumpy growths caused by a viral infection. They occur most often on the hands and feet. Because they are caused by a virus, they are contagious. Moles are brown or black spots that are sometimes raised slightly from the surface of the skin. They happen when clumps of pigment cells form in a cluster instead of spread out. Moles are harmless except that they are more vulnerable to cancer than other parts of the skin. Skin cancer is the most common form of cancer in the United States, and its risk increases with sun exposure and fair skin tone.
Skin issues can be embarrassing or irritating, but most are minor and can be treated without serious problems. Some, however, can be a sign of a more significant issue, so it is important to see a doctor for anything out of the ordinary.
She has a state license in Michigan.
Licensed In: Michigan
Dr. Christina Mubarak Shanti, MD is associated with these hospitals and organizations:
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Dr. Christina Shanti's medical specialty is pediatric general surgery. Clinical interests for Dr. Shanti include gastrostomy (G-tube insertion), hernia surgery, and abscess drainage. She is professionally affiliated with Detroit Medical Center (DMC).