The Effects of Bariatric Surgery on Vitamin B Status and Mental Health

Mansoori, Amna Al; Shakoor, Hira; Ali, Habiba I.; Feehan, Jack; Dhaheri, Ayesha S. Al; Ismail, Leila Cheikh; Bosevski, Marijan; Apostolopoulos, Vasso; Stojanovska, Lily

doi:10.3390/nu13041383

Cited by 29 publications

(16 citation statements)

References 128 publications

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“…People undergoing bariatric surgery are at high risk of developing neurological, cognitive and mental disabilities and cardiovascular disease due to deficiency of vitamin B. Early detection is important to prevent complications including Wernicke encephalopathy, peripheral neuropathy and bariatric beri beri [ 34 , 35 ]. Vitamin B12 could be administered orally, intra-muscularly, intranasal, intravenous.…”

Section: Resultsmentioning

confidence: 99%

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

et al. 2022

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Background Patients presenting with acute abdominal pain that occurs after months or years following bariatric surgery may present for assessment and management in the local emergency units. Due to the large variety of surgical bariatric techniques, emergency surgeons have to be aware of the main functional outcomes and long-term surgical complications following the most performed bariatric surgical procedures. The purpose of these evidence-based guidelines is to present a consensus position from members of the WSES in collaboration with IFSO bariatric experienced surgeons, on the management of acute abdomen after bariatric surgery focusing on long-term complications in patients who have undergone laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Method A working group of experienced general, acute care, and bariatric surgeons was created to carry out a systematic review of the literature following the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) and to answer the PICO questions formulated after the Operative management in bariatric acute abdomen survey. The literature search was limited to late/long-term complications following laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Conclusions The acute abdomen after bariatric surgery is a common cause of admission in emergency departments. Knowledge of the most common late/long-term complications (> 4 weeks after surgical procedure) following sleeve gastrectomy and Roux-en-Y gastric bypass and their anatomy leads to a focused management in the emergency setting with good outcomes and decreased morbidity and mortality rates. A close collaboration between emergency surgeons, radiologists, endoscopists, and anesthesiologists is mandatory in the management of this group of patients in the emergency setting.

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Section: Resultsmentioning

confidence: 99%

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

et al. 2022

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“…Para prevenir ou reduzir a incidência dessas complicações, recomenda-se a suplementação rotineira de nutrientes, incluindo multi vitaminas, vitamina B12, ferro, minerais, cálcio e vitamina D (BETTINI et al, 2020;CIOBÂRCĂ et al, 2020;AL MANSOORI et al, 2021;BJØRKLUND et al, 2021;DELEDDA et al, 2021).…”

Section: Carências Nutricionaisunclassified

Cirurgia bariátrica - aspectos epidemiológicos, fisiopatológicos e principais técnicas cirúrgicas empregadas

De Souza,

Narciso,

Mattos

et al. 2023

Braz. J. Hea. Rev.

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Nas últimas décadas, houve uma mudança no estilo de vida que contribuiu para um aumento alarmante da obesidade. Padrões alimentares ricos em calorias e comportamento sedentário têm levado a uma epidemia global, com números preocupantes tanto entre adultos quanto entre crianças e adolescentes. A cirurgia bariátrica é reconhecida como o tratamento mais eficaz para combater a obesidade e suas complicações. Esses procedimentos cirúrgicos, como o bypass gástrico, a banda gástrica ajustável, a gastrectomia vertical e a derivação biliopancreática, demonstraram ser altamente eficientes na redução de peso a longo prazo e no tratamento de problemas metabólicos associados. Embora ainda haja incertezas sobre os mecanismos exatos envolvidos na perda de peso resultante da cirurgia bariátrica, acredita-se que eles envolvam o controle do apetite, a influência de peptídeos intestinais, modificações na microbiota e alterações nos ácidos biliares. No geral, a cirurgia bariátrica é considerada a terapia mais eficaz disponível atualmente para alcançar e manter a perda de peso a longo prazo. Outrossim, intervenções endoscópicas minimamente invasivas têm ganhado espaço no manejo do paciente obeso; atualmente, existem três estratégias bariátricas endoscópicas comumente utilizadas: balões intragástricos (BIGs), gastroplastia endoscópica (GE) e bypass duodeno-jejunal endoscópico (BDJE). Esses procedimentos visam reduzir a capacidade do estômago e a absorção de nutrientes, resultando em perda de peso. Além disso, os procedimentos bariátricos endoscópicos têm mostrado resultados promissores devido às suas características, como baixo impacto traumático, possibilidade de reversão, recuperação rápida, custo-efetividade e eficácia na redução de peso.

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“…Therefore, a persistent supplementation is required. In addition, hyperhomocysteinemia can be a driver of these conditions [75]. A small amount of BS patients experience other types of mental impairment and addictions (i.e., alcohol, opioids) that can be linked to hormonal and bile acids imbalance [76].…”

Section: Bariatric Surgerymentioning

confidence: 99%

Nutritional Management in Bariatric Surgery Patients

Deledda

Pintus²,

Loviselli

et al. 2021

IJERPH

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The obesity epidemic, mainly due to lifestyle changes in recent decades, leads to serious comorbidities that reduce life expectancy. This situation is affecting the health policies of many nations around the world. Traditional measures such as diet, physical activity, and drugs are often not enough to achieve weight loss goals and to maintain the results over time. Bariatric surgery (BS) includes various techniques, which favor rapid and sustained weight loss. BS is a useful and, in most cases, the best treatment in severe and complicated obesity. In addition, it has a greater benefit/risk ratio than non-surgical traditional therapies. BS can allow the obese patient to lose weight quickly compared with traditional lifestyle changes, and with a greater probability of maintaining the results. Moreover, BS promotes improvements in metabolic parameters, even diabetes remission, and in the quality of life. These changes can lead to an increase of life expectancy by over 6 years on average. The nutrition of people before and after BS must be the subject of indications from a trained staff, and patients must be followed in the subsequent years to reduce the risk of malnutrition and the associated problems. In particular, it is still debated whether it is necessary to lose weight prior to surgery, a procedure that can facilitate the surgeon’s work reducing the surgical risk, but at the same time, lengthens preparation times increasing the risks associated with concomitant pathologies. Furthermore, preventing nutritional deficiencies prior to the intervention can improve the results and reduce short- and long-term mortality.

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The Effects of Bariatric Surgery on Vitamin B Status and Mental Health

Cited by 29 publications

References 128 publications

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

Cirurgia bariátrica - aspectos epidemiológicos, fisiopatológicos e principais técnicas cirúrgicas empregadas

Nutritional Management in Bariatric Surgery Patients

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