Document Detail


Severe protein-calorie malnutrition after bariatric procedures.
MedLine Citation:
PMID:  15018745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Serious nutritional complications after Roux-en-Y gastric bypass (RYGBP) are infrequent. In a retrospective study of patients operated during a 68-month period, malnutrition was investigated to analyze circumstances associated with nutritional failure. METHODS: In 236 consecutive RYGBPs, 11 patients with severe malnutrition were identified (4.7%) with age 45.1 +/- 10.6 years (10 females/1 male) and initial BMI 54.6 +/- 8.4 kg/m(2). RESULTS: In these 11 patients, the derangement was diagnosed 17.9 +/- 15.8 months after RYGBP, following defined events in 63.6% (gastric stenosis, associated diseases ) or mostly exaggeration of expected symptoms in 36.4% (vomiting without endoscopic abnormalities). BMI then was 31.4 +/- 8.6 kg/m(2) (42.5 +/- 9.9% total reduction, or 2.4 +/- 2.1% decrease/month), and serum albumin and hemoglobin were 24.0 +/- 8.2 g/L and 97.0 +/- 23.0 g/L respectively. Edema was present in 45.4% (5/11), hospitalization was required in 54.5% (6/11), and 18.2% (2/11) eventually died. CONCLUSIONS: Serious malnutrition was unusual but not exceedingly rare in this series. Exogenous precipitating factors were clearly identified in 63.6% of the patients. Careful clinical and nutritional follow-up is recommended to prevent these uncommon but potentially dangerous complications.
Authors:
Joel Faintuch; Mitsunori Matsuda; Maria Emilia L F Cruz; Marlene M Silva; Marcelo P Teivelis; Arthur B Garrido; J J Gama-Rodrigues
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Obesity surgery     Volume:  14     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-15     Completed Date:  2004-07-13     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  175-81     Citation Subset:  IM    
Affiliation:
Obesity Group, Hospital das Clínicas, São Paulo, SP, Brazil. faintuch@net.ipen.br
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MeSH Terms
Descriptor/Qualifier:
Adult
Anastomosis, Roux-en-Y / adverse effects
Body Mass Index
Female
Gastric Bypass / adverse effects*
Humans
Male
Middle Aged
Obesity, Morbid / surgery*
Protein-Energy Malnutrition / etiology*,  mortality
Retrospective Studies
Risk Factors
Stomach / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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