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[Micronutrients in bariatric surgery].

M J Amaya García1, F J Vilchez López, C Campos Martín

  • 1Unidad de Endocrinología y Nutrición, Hospital San Pedro de Alcántara, San Pedro de Alcántara, Cáceres, España.

Nutricion Hospitalaria
|June 27, 2012
PubMed
Summary
This summary is machine-generated.

Morbid obesity increases health risks. Bariatric surgery aids weight loss but requires lifelong monitoring for micronutrient deficiencies, necessitating supplementation.

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Area of Science:

  • Endocrinology
  • Nutritional Science
  • Surgical Science

Context:

  • Morbid obesity is a chronic disease with rising prevalence, leading to significant morbidity and mortality.
  • Bariatric surgery is the most effective treatment for sustained weight reduction and decreased obesity-related complications.
  • Obesity and overweight are established risk factors for deficiencies in essential micronutrients.

Purpose:

  • To highlight the prevalence of micronutrient deficiencies in individuals with morbid obesity.
  • To emphasize the potential for bariatric surgery to cause or exacerbate micronutrient deficits.
  • To advocate for lifelong monitoring and supplementation of micronutrients post-bariatric surgery.

Summary:

  • Obesity is linked to dietary deficits of vitamins (B1, B6, C, folic acid, D) and minerals (iron, zinc).
  • While preoperative micronutrient monitoring lacks consensus, it is advisable due to high deficiency rates.
  • Bariatric surgery, particularly malabsorptive techniques, can lead to or worsen micronutrient deficiencies, paralleling weight loss.

Impact:

  • Lifelong monitoring of micronutrients is crucial, especially after malabsorptive bariatric procedures.
  • Systematic use of a polyvitamin complex is recommended post-surgery.
  • Specific supplementation may be required when a general polyvitamin complex is insufficient to correct deficiencies.