Changes in Fat Intake, Body Fat Composition and Intra-Abdominal Fat after Bariatric Surgery

Lim, Hee‐Sook; Jeong, Gajin; Cho, Gyu Seok; Lee, Min Hee; Kim, Soonkyung

doi:10.7762/cnr.2014.3.2.157

Cited by 3 publications

(2 citation statements)

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“…A study by Verger et al [58] showed that the insufficient intake of PUFA in the energy value of the diet was noted in RYGB patients, while in SG patients, it was similar to the one in the present study. Lim et al [68] emphasized favorable changes that occurred in the nutrition of a 51-year-old patient 6 months post-LSG (SAFA intake reduction, the increased intake of MUFA and PUFA).…”

Section: Discussionmentioning

confidence: 99%

“…The present study showed a significant reduction in dietary cholesterol intake, which exceeded the reference values by over 2-fold before surgery and was within normal limits 12 months after surgery. Other authors also emphasized a considerable decrease in cholesterol consumption [17,68]. The intake of cholesterol should be limited mainly in individuals with its high levels in the plasma [35].…”

Section: Discussionmentioning

confidence: 99%

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Nutritional Status, Selected Nutrients Intake, and Metabolic Disorders in Bariatric Surgery Patients

Boniecka

Czerwonogrodzka–Senczyna

Jeznach-Steinhagen

et al. 2023

Nutrients

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Bariatric surgery is the most effective treatment for obesity and its complications. However, failure to adhere to dietary recommendations can result in both unsatisfactory weight loss and metabolic disorders. The aim of this study was to evaluate the effects of bariatric surgery on the anthropometric parameters and selected nutrient intake. A total of 12 months postoperatively, percent excess weight loss (%EWL) was significantly higher after laparoscopic Roux-en-Y gastric bypass (LRYGB) than laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) (93.78% vs. 56.13% and 55.65%, p < 0.001). The same was true for waist-to-hip ratio (WHR) (p = 0.017) and waist-to-height ratio (WHtR) changes (p = 0.022). There was a significant decrease in total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C) levels after RYGB. A significant decrease (p < 0.05) in daily intake was found for energy (4278.4 kcal vs. 1355.17 kcal), sucrose (122.23 g vs. 38.22 g), dietary fiber (30.90 g vs. 14.20 g), eicosapentaenoic fatty acid and docosahexaenoic acid (EPA+DHA) (142.46 mg vs. 52.90 mg) and % energy from fats (42.43% vs. 35.17%), saturated fatty acids (SAFAs) (19.96% vs. 14.11%) and alpha-linolenic fatty acid (ALA) (0.87% vs. 0.69%). Energy intake and energy % from fats positively correlated with body weight (BW), waist circumference (WC), WHR, and WHtR, and negatively with %EWL. The percentage of unsaturated fatty acids positively correlated with WC and WHR. Energy intake correlated positively with serum triglycerides (TGs) and energy % from fats and carbohydrates. Despite significant weight loss, the patient’s diet deviated from recommendations and may have contributed to metabolic disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nutritional Status, Selected Nutrients Intake, and Metabolic Disorders in Bariatric Surgery Patients

Boniecka

Czerwonogrodzka–Senczyna

Jeznach-Steinhagen

et al. 2023

Nutrients

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Dumping syndrome after bariatric surgery

Emous¹

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Table of contents Chapter Introduction and aims of thesis 7 Part I Tools and treatment for dumping syndrome-current state of affairs Chapter Diagnostic tools for post-gastric bypass hypoglycaemia 23 Chapter Dumping Syndrome: Pathophysiology, Diagnosis, and Management 49 Part II Improving understanding of dumping syndrome Chapter Short to mid-term symptom prevalence of dumping syndrome after primary gastric bypass surgery and its impact on health related quality of life. 81 Chapter Prevalence and pathophysiology of early dumping in patients after primary Roux-en-Y gastric bypass during a Mixed Meal Tolerance Test. 103 Chapter Prevalence of hypoglycaemia in a random population after Roux-en-Y gastric bypass during a meal test 119 Part III Solving old problems, creating new ones Chapter Conversion of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass is safe as a single step procedure 139 Chapter Long term self-reported symptom prevalence of early and late dumping in a patient population after sleeve gastrectomy, primary and revisional gastric-bypass surgery 153 Chapter Summary and future perspectives 169 Chapter Samenvatting, discussie van belangrijkste bevindingen en toekomstig onderzoek 185 Appendices List of publications 203 Dankwoord 207 Curriculum Vitea 213 Figure 6: Vertical Banded Gastroplasty by Mason 13 The AIm And OuTlIne OF ThIs ThesIs The general aim of this thesis is to summarize what is currently known about early and especially late dumping syndrome, and to improve our understanding of this disease, with the ultimate goal of providing additional practical information for both surgeon and patient regarding their prevalence, consequence and pathophysiology. This thesis is divided into three parts. Part I Tools and treatment for dumping syndrome-current state of affairs. Chapter 2 gives an overview of the literature of the diagnostic tools used to study or to establish the presence of late dumping. Chapter 3 describes the current knowledge of the pathophysiology of early and late dumping, and provides practical treatment advice. Part II Improving our understanding of dumping syndrome. Chapter 4 describes the short-to mid-term symptom prevalence of dumping syndrome after primary gastric-bypass surgery, and its impact on (health-related) quality of life when studied by means of patient questionnaires. Chapter 5 reports on the prevalence and pathophysiology of early dumping in a random selection of patients after undergoing a mixed meal tolerance test. Chapter 6 describes the results from chapter 5, focusing on late dumping. Part III solving old problems, creating new ones. Chapter 7 describes the results of conversion of failed laparoscopic adjustable gastric banding to Roux-en-Y gastric bypass, and provides information about its safety as a single-step procedure. Chapter 8 reveals that the conversion to Roux-en-Y gastric bypass after gastric banding has consequences with regard to late dumping. In this chapter results on self-reported symptom prevalence of dumping are given on pat...

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A Case of Type 2 Diabetes Mellitus with Severe Insulin Resistance and Dumping Syndrome after Bariatric Surgery

Kang

Kim

Choi

et al. 2015

KJO

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Patients with diabetes undergo bariatric surgery to improve sugar metabolism and to achieve weight loss. However, possible complications after bariatric surgery must be carefully considered. We report a case of uncontrolled blood sugar after bariatric surgery despite weight loss in a severely obese patient with diabetes. The patient underwent bariatric surgery in 2009 in order to lose weight and improve glycemic control. Six months after the surgery, the patient experienced dumping syndrome. The patient did actually lose weight; however, as the visceral fat/subcutaneous fat+visceral fat ratio increased, insulin resistance was not improved, and glycemic control was aggravated. The patient received proper medication for dumping syndrome including nutritional support and exercise education. Due to these efforts, the patient has maintained her weight loss, and her blood sugar level was controlled within the target range.

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Changes in Fat Intake, Body Fat Composition and Intra-Abdominal Fat after Bariatric Surgery

Cited by 3 publications

References 12 publications

Nutritional Status, Selected Nutrients Intake, and Metabolic Disorders in Bariatric Surgery Patients

Nutritional Status, Selected Nutrients Intake, and Metabolic Disorders in Bariatric Surgery Patients

Dumping syndrome after bariatric surgery

A Case of Type 2 Diabetes Mellitus with Severe Insulin Resistance and Dumping Syndrome after Bariatric Surgery

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