Health risks of nutritional deficiencies and supplementation in patients after bariatric surgery

Česká verzia

Authors: K. Petřeková ^1,2; M. Bužga ² ; J. Janoutová ¹
Authors place of work: Ostravská univerzita v Ostravě Lékařská fakulta ; Ústav epidemiologie a ochrany veřejného zdraví Vedoucí: prof. MUDr. Vladimír Janout, CSc. ¹; Ústav fyziologie a patofyziologie a Výzkumné obezitologické centrum Vedoucí: Mgr. Marek Bužga, Ph. D. ²
Published in the journal: Prakt. Lék. 2016; 96(2): 82-86
Category: Of different specialties

Summary

Introduction:
Obesity is a disease showing high prevalence according to recent epidemiological studies. The conservative treatment is ineffective in numerous patients and thus the bariatric surgery gains still more importance. If the goal of the surgery is not only the weight reduction, but also the improvement of patient‘s metabolic status, it is more precisely termed as metabolic surgery. The efficiency of the treatment is monitored not only individually in patients who have undergone the surgery; but it is also the focus of research studies which base the evaluation on the monitored anthropometric, laboratory and clinical parameters in a larger group of persons who have been selected for the study. The presence of deficiencies of some micronutrients is monitored primarily in patients who have undergone the malabsorptive type of operation or the combined restrictive and malabsorptive surgeries and the risks of occurrence or presence of complications correlated with nutritional deficiencies are evaluated.

Goal:
The aim of the review article is the summary of the issue of nutritional deficiencies, complications and the nutrient supplementation in obese patients who have undergone the bariatric therapy and to inform physicians on the issues of specific neurological complications which occur in bariatric patients such as the thiamine deficiency.

Conclusion:
Monitoring of the nutritional status in bariatric patients for a minimum of 1 year after the surgery is an essential part of post-operative care in these patients. The onset of post-operative complications due to the deficiency of significant micronutrients can be reduced or prevented by their early supplementation and complex clinical patient care. .

Keywords:
obesity – bariatric medicine – hypovitaminosis – nutritional deficiencies – supplementation – nutrition

Zdroje

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