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Malnutrition after bariatric surgery.

Nicolas Taton1, Anne-Laure Borel2, Marine Chobert Bakouline2

  • 1Department of Digestive Surgery, Grenoble Alps University Hospital, Grenoble, France.

Minerva Chirurgica
|July 15, 2017
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Summary

Malnutrition is a severe risk after obesity surgery, particularly following omega bypass procedures. Early detection and management are crucial for patient outcomes, especially in those with chronic kidney disease.

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Area of Science:

  • Bariatric Surgery Outcomes
  • Gastroenterology and Hepatology
  • Nutritional Science

Background:

  • Malnutrition is a rare but serious complication post-bariatric surgery.
  • Analysis of malnutrition cases and their management at Grenoble University Hospital.

Purpose of the Study:

  • To analyze cases of malnutrition following obesity surgery.
  • To evaluate the management strategies for these malnutrition cases.

Main Methods:

  • Retrospective data analysis from 2006-2016.
  • Inclusion of data from multiple hospital departments and registers.
  • Collection of patient demographics, surgical history, nutritional status, and outcomes.

Main Results:

  • Six patients experienced protein malnutrition post-obesity surgery.
  • Malnutrition occurred in 0.2% of patients (1/484) operated on at the institution.
  • Omega bypass surgery was associated with a higher incidence and shorter delay to malnutrition.
  • Chronic kidney disease was present in 50% of affected patients.
  • Acute idiopathic pancreatitis was observed in two patients.

Conclusions:

  • Obesity surgery patients, especially those undergoing omega bypass or with pre-existing chronic kidney disease, are at risk of malnutrition.
  • Acute pancreatitis following surgery serves as a warning sign for potential malnutrition.
  • Timely nutritional and surgical interventions are vital for managing post-bariatric surgery malnutrition.