Trastornos nutricionales tras cirugía bariátrica y su tratamiento

Moya, Mercedes Palma; Charneco, Miguel Quesada; Soto, M.L. Fernández

doi:10.1016/s1575-0922(07)71526-7

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Four weeks before surgery, patients followed a hypocaloric diet with 800 Kcal/day and 56 g protein/day intake. After the operation, multivitamin and mineral supplements were prescribed in patients who underwent the mixed procedures, to minimise micronutrient deficiency [12]. Patients were candidates for general anaesthetic and were able to understand the options necessary to comply with the requirement of each intervention program.…”

Section: Patientsmentioning

confidence: 99%

Remisja cukrzycy typu 2 po leczeniu bariatrycznym — porównanie różnych procedur

Fernández-Soto¹,

Martín-Leyva²,

González-Jiménez³

et al. 2017

Endokrynologia Polska

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Introduction: We aimed to assess the mid-term type 2 diabetes mellitus recovery patterns in morbidly obese patients by comparing some relevant physiological parameters of patients of bariatric surgery between two types of surgical procedures: mixed (roux-en-Y gastric bypass and biliopancreatic diversion) and restrictive (sleeve gastrectomy). Material and methods: This is a prospective and observational study of co-morbid, type 2 diabetes mellitus evolution in 49 morbidly obese patients: 37 underwent mixed surgery procedures and 12 a restrictive surgery procedure. We recorded weight, height, body mass index, and glycaemic, lipid, and nutritional blood parameters, prior to procedure, as well as six and twelve months post-operatively. In addition, we tested for differences in patient recovery and investigated predictive factors in diabetes remission. Results: Both glycaemic and lipid profiles diminished significantly to healthy levels by 6 and 12 months post intervention. Type 2 diabetes mellitus showed remission in more than 80% of patients of both types of surgical procedures, with no difference between them. Baseline body mass index, glycated haemoglobin, and insulin intake, among others, were shown to be valuable predictors of diabetes remission one year after the intervention. Conclusions:The choice of the type of surgical procedure did not significantly affect the remission rate of type 2 diabetes mellitus in morbidly obese patients. (Endokrynol Pol 2017; 68 (1): 18-25)

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Section: Patientsmentioning

confidence: 99%

Remisja cukrzycy typu 2 po leczeniu bariatrycznym — porównanie różnych procedur

Fernández-Soto¹,

Martín-Leyva²,

González-Jiménez³

et al. 2017

Endokrynologia Polska

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“…Cuando se sospecha o se comprueba su deficiencia por presencia de vómito prolongado, se debe evitar administrar dextrosa intravenosa, hasta obtener niveles séricos adecuados; se administran entre 50 y 200 mg diarios intravenosos hasta que la sintomatología desaparezca (alrededor de siete días) y se continúa con 10 a 100 mg diarios por vía oral 1,10,11,12,20,22,25,32,33 .…”

Section: Tiamina (Vitamina B1)unclassified

Necesidades nutricionales específicas después de cirugía bariátrica

Savino,

Carvajal,

Nassar

et al. 2013

Rev Colomb Cir

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La cirugía bariátrica es un procedimiento exitoso y cada vez más utilizado para el tratamiento de la obesidad con presencia de enfermedades asociadas o sin ella. Existen diferentes tipos de procedimientos los cuales se seleccionan dependiendo del tipo de paciente y de la recomendación y experiencia del médico tratante. La cirugía bariátrica per se genera deficiencias nutricionales que deben considerarse de antemano y, por lo tanto, ser tratadas y no obviadas. La administración a ciegas de suplementos nutricionales conlleva a pecar tanto por déficit como por exceso, lo cual genera consecuencias nutricionales a corto y a largo plazo. El cirujano y su equipo deben ir más allá del procedimiento quirúrgico y contribuir con el tratamiento metabólico y nutricional, consiguiendo una mejor calidad de vida para el paciente.

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