Pp231-Sun Protein Malnutrition Incidence Comparison After Gastric Bypass vs. Biliopancreatic Diversion

Suárez-Llanos, José Pablo; Fuentes‐Ferrer, Manuel; García-Bray, B.F.; Walther, LA Álvarez-Sala; Medina-González, L.; Bretón-Lesmes, Irene; Moreno-Esteban, Basilio

doi:10.1016/s0261-5614(13)60276-9

Cited by 6 publications

(9 citation statements)

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“…This can promote a healthy short and long-term postoperative dietary pattern to prevent nutritional deficiency. Furthermore, due to the low capacity of the stomach, the patients need to take high protein -low carbohydrate ready to use formula or drink enriched with vitamins and minerals specified for these groups to promote maximum adherence to their diet, patients undergoing BS are more susceptible to protein malnutrition [45][46][47], Schollenberger and Batar et al showed that taking protein supplement can improve body composition by preventing FFM loss and enhancing loss of body fat [48,49].…”

Section: Discussionmentioning

confidence: 99%

Dietary macro- and micro-nutrients intake adequacy at 6th and 12th month post-bariatric surgery

et al. 2020

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Background Bariatric surgery (BS) is considered as an effective solution to control morbid obesity. Food restrictions resulting from the operation may decrease dietary nutrient intakes, particularly during the first year after BS. This study mainly aimed to assess the adequacy of dietary nutrient intakes at 6th and 12th month after BS. Method Of the severely obese participants in the Tehran obesity treatment study in 2015–2016, 58 patients undergoing Roux-En-Y gastric bypass (N = 16) or sleeve gastrectomy (N = 42) were selected from Tehran Obesity Treatment Center. To assess the patients’ dietary intake, a three-day, 24-h dietary recall was obtained on three unscheduled days (two non-consecutive weekdays and one weekend day) at 6th and 12th month after BS. To evaluate the adequacy of nutrient intake, the patients’ intakes were compared to the current dietary reference intakes (DRIs), including estimated average requirements (EAR) or Adequate Intakes (AI). Results The mean age of the participants (71% women) undergoing BS was 37 ± 8 years. Anthropometric parameters significantly decreased at the 12th month after BS. The percentage of energy from carbohydrate intake increased significantly between the 6th and 12th month after BS (P = 0.04). The mean ± SD of protein intake was lower than the recommended dosage with a dramatic decrease from 45 ± 30 to 31 ± 15 (g/day) between the two intervals (P = 0.001). The mean intake of saturated fatty acid (SFA) decreased dramatically (P < 0.001) from 6 to 12 month; however, the median intake of n3-polyunsaturated fatty acid (n3-PUFA) intake increased (P = 0.02). None of the participants showed nutrient intake adequacy in terms of biotin, fat soluble vitamins, pantothenic acid, potassium, and zinc. Moreover, less than 10% of the participants showed nutrient intake adequacy in terms of folate, magnesium, manganese, and calcium according to DRIs during the both intervals after BS. Conclusion Bariatric surgery can reduce dietary intakes, which is more obvious 12 months after the surgery. Out of 21 micronutrients, nearly all could not met the EAR and were received < 50%, also had significant reduction from the 6th to12th month after surgery.

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Section: Discussionmentioning

confidence: 99%

Dietary macro- and micro-nutrients intake adequacy at 6th and 12th month post-bariatric surgery

et al. 2020

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“…This is particularly relevant to spine surgery following bariatric surgery, as bariatric surgery can predispose patients to malnutrition, increased bone turnover and perioperative complications. [6][7][8][9][10] Specifically, mechanical off-loading leads to increased bone turnover, and gut resection and chronic vitamin D deficiency can lead to a hormonal imbalance in bone homeostasis. 11 The impact of bariatric surgery on orthopaedic outcomes is well documented in the arthroplasty literature.…”

Section: Introductionmentioning

confidence: 99%

Pre-Operative Bariatric Surgery Imparts An Increased Risk of Infection, Re-Admission and Operative Intervention Following Elective Instrumented Lumbar Fusion

Couch

Fourman

Shaw

et al. 2021

Global Spine Journal

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Study Design: Retrospective cohort study. Objectives: To evaluate the impact of bariatric surgery on patient outcomes following elective instrumented lumbar fusion. Methods: A retrospective review of a prospectively collected database was performed. Patients who underwent a bariatric procedure prior to an elective instrumented lumbar fusion were evaluated. Lumbar procedures were performed at a large academic medical center from 1/1/2012 to 1/1/2018. The primary outcome was surgical site infection (SSI) requiring surgical debridement. Secondary outcomes were prolonged wound drainage requiring treatment, implant failure requiring revision, revision secondary to adjacent segment disease (ASD), and chronic pain states. A randomly selected, surgeon and comorbidity-matched group of 59 patients that underwent an elective lumbar fusion during that period was used as a control. Statistical analysis was performed using Student’s two-way t-tests for continuous data, with significance defined as P < .05. Results: Twenty-five patients were identified who underwent bariatric surgery prior to elective lumbar fusion. Mean follow-up was 2.4 ± 1.9 years in the bariatric group vs. 1.5 ± 1.3 years in the control group. Patients with a history of bariatric surgery had an increased incidence of SSI that required operative debridement, revision surgery due to ASD, and a higher incidence of chronic pain. Prolonged wound drainage and implant failure were equivalent between groups. Conclusion: In the present study, bariatric surgery prior to elective instrumented lumbar fusion was associated increased risk of surgical site infection, adjacent segment disease and chronic pain when compared to non-bariatric patients.

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“…From the 396 search results initially retrieved, 18 studies were included in the review (Online Appendix 2, PRISMA flowchart). Overall, 3015 RYGB patients were analyzed in 14 comparative [1,[11][12][13][14][15][16][17][18][19][20][21][22][23] and 4 noncomparative [24][25][26][27] studies. Postoperative follow-up varied between 12 and 120 months, with PM rates reported at the latest timepoint in all studies.…”

Section: Review Resultsmentioning

confidence: 99%

Protein malnutrition after Roux-en-Y gastric bypass: a challenging case and scoping review of the literature

Mantziari

Abboretti

Favre

et al. 2023

Surgery for Obesity and Related Diseases

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Pp231-Sun Protein Malnutrition Incidence Comparison After Gastric Bypass vs. Biliopancreatic Diversion

Cited by 6 publications

References 0 publications

Dietary macro- and micro-nutrients intake adequacy at 6th and 12th month post-bariatric surgery

Dietary macro- and micro-nutrients intake adequacy at 6th and 12th month post-bariatric surgery

Pre-Operative Bariatric Surgery Imparts An Increased Risk of Infection, Re-Admission and Operative Intervention Following Elective Instrumented Lumbar Fusion

Protein malnutrition after Roux-en-Y gastric bypass: a challenging case and scoping review of the literature

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