Micronutrients deficiences in patients after bariatric surgery.

Autor: Gasmi A; Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France., Bjørklund G; Council for Nutritional and Environmental Medicine (CONEM), Toften 24, 8610, Mo i Rana, Norway. bjorklund@conem.org., Mujawdiya PK; Birla Institute of Technology and Science, Pilani, Hyderabad, India., Semenova Y; Semey Medical University, Semey, Kazakhstan.; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan., Peana M; Department of Chemistry and Pharmacy, University of Sassari, Sassari, Italy., Dosa A; Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania., Piscopo S; Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France.; Department of Nutritional Research and Development, Nutri-Logics SA, Weiswampach, Luxembourg., Gasmi Benahmed A; Académie Internationale de Médecine Dentaire Intégrative, Paris, France.; Université Claude Bernard, Lyon 1, Villeurbanne, France., Costea DO; Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania.
Jazyk: angličtina
Zdroj: European journal of nutrition [Eur J Nutr] 2022 Feb; Vol. 61 (1), pp. 55-67. Date of Electronic Publication: 2021 Jul 23.
DOI: 10.1007/s00394-021-02619-8
Abstrakt: Bariatric surgery is an effective option for managing obesity and has gained general acceptance among patients in recent years. Generally, despite the high caloric intake, a bad nutritional habit of obese people results in the deficiency of several vitamins, minerals, and trace elements essential for body metabolism and normal physiological processes. Additionally, the current bariatric surgical approaches such as sleeve gastrectomy (SG), Roux-en-Y-gastric bypass (RYGB), laparoscopic adjustable gastric banding (LAGB), and jejunoileal bypass (JIB) can cause or exacerbate these deficiencies. Based on several reports, it appears that the various bariatric surgical procedures affect nutrient absorption differently. Being purely restrictive, LAGB and SG affect the absorption of iron, selenium, and vitamin B 12 , while RYGB, JIB, and biliopancreatic diversion have a more profound impact on the absorption of essential vitamins, minerals, and trace elements. Nutritional deficiencies in vitamins, minerals, and trace elements may follow bariatric surgery and are associated with clinical manifestations and diseases, including anemia, ataxia, hair loss, and Wernicke encephalopathy. The present review summarizes some of the major vitamin and micronutrient deficiencies associated with bariatric surgery, particularly those presented post-surgically. To avoid any adverse consequences of vitamin and trace element deficiency, proper monitoring and tests are recommended at any stage, from pre- to post-surgery (periodical check-up), followed by specific and individual nutritional supplementation treatments and a proper healthy diet.
(© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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