| Autor: |
Gasmi A; Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France.; Laboratoire Interuniversitaire de Biologie de la Motricité, Université Claude Bernard, Villeurbanne, France., Bjørklund G; Council for Nutritional and Environmental Medicine (CONEM), Mo i Rana, Norway., Mujawdiya PK; Birla Institute of Technology and Science -Pilani, Hyderabad, India., Semenova Y; Department of Neurology, Ophthalmology, ENT, Semey Medical University, Semey, Kazakhstan.; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan., Dosa A; Medical Faculty, Ovidius University of Constanta, Constanta, Romania., Piscopo S; Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France.; Department of Nutritional Research and Development, ESE Group, Weiswampach, Luxembourg., Pen JJ; Diabetes Clinic, Department of Internal Medicine, UZ Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.; Department of Nutrition, UZ Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium., Gasmi Benahmed A; Académie Internationale de Médecine Dentaire Intégrative, Paris, France.; Université Claude Bernard - Lyon 1, Villeurbanne, France., Costea DO; Medical Faculty, Ovidius University of Constanta, Constanta, Romania. |
| Abstrakt: |
Bariatric surgery or weight loss surgery has been in practice for achieving significant weight loss in patients who have failed to achieve weight loss after pharmacological interventions. The rising cases of obesity are a triggering factor for more bariatric surgeries worldwide. Interestingly, sustained weight loss achieved post-bariatric surgery offers metabolic advantages, and patients show improved glucose and lipid metabolisms. Bariatric surgery is directly linked to higher incidences of vitamin, mineral, and trace element deficiencies, thus making patients susceptible to anemia, osteoporosis, and cardiomyopathy. Reduced nutrient absorption capacity, dietary changes, dietary restriction, and altered gastrointestinal tract morphology are some reasons for nutritional deficiency observed in post-bariatric surgery procedures. Micro-and-macronutrient deficiency observed in patients during the postoperative phase requires continuous monitoring of nutritional parameters. Therefore, adequate multivitamin and mineral supplements become essential to prevent/overcome micronutrient deficiencies. Bariatric surgery also raises the risk of small for gestational age (SGA) babies. Hence, a 12 - 24 months gap is recommended between bariatric surgery and pregnancy to achieve desired weight loss targets. The topic of this review is the impact of bariatric surgery procedures on vitamin and mineral absorption and the role of dietary supplements in maintaining a healthy nutritional balance during the postoperative phase. |
