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Overview of Nutritional Deficiencies After Bariatric Surgery

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Diet and Nutrition in Critical Care

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Abstract

The growing worldwide epidemic of obesity has become a major concern because of its extensive medical, social, and economic consequences. As the prevalence of obesity continues to rise, it becomes increasingly important to understand the differences in medical management for those obese patients who have undergone bariatric surgery. Obese patients after bariatric surgery often have multiple medical comorbidities, making their care more complex and often requiring a higher level of acuity in the intensive care unit. The type of bariatric surgery that has been performed influences the risk of developing nutritional deficiencies. Common micronutrient deficiencies after bariatric surgery are outlined herein. Recognition of specific organ-based syndromes related to micronutrient deficiencies is important for the prevention of permanent end-organ damage. Treatment of micronutrient deficiencies after bariatric surgery is summarized.

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Abbreviations

AGB:

Adjustable gastric banding

BMI:

Body mass index

BPD:

Biliopancreatic diversion

ICU:

Intensive care unit

RYGB:

Roux-en-Y gastric bypass

SG:

Vertical sleeve gastrectomy

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Authors and Affiliations

  1. Section of Gastroenterology and Hepatology and Department of Surgery, MedStar Washington Hospital Center and Georgetown University School of Medicine, POB North, Suite 3400, 106 Irving Street, NW, 20010, Washington, DC, USA

    Farzin Rashti, Ekta Gupta, Timothy R. Shope & Timothy R. Koch

Authors
  1. Farzin Rashti
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  2. Ekta Gupta
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  3. Timothy R. Shope
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  4. Timothy R. Koch
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Corresponding author

Correspondence to Farzin Rashti .

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Editors and Affiliations

  1. Royal Free London Hospitals, Barnet General Hospital, London, UK

    Rajkumar Rajendram

  2. Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Rajkumar Rajendram

  3. King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia

    Rajkumar Rajendram

  4. Department of Nutrition and Dietetics, Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Victor R. Preedy

  5. Department of Biomedical Sciences, Faculty of Science & Technology, University of Westminster, London, UK

    Vinood B. Patel

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Rashti, F., Gupta, E., Shope, T.R., Koch, T.R. (2015). Overview of Nutritional Deficiencies After Bariatric Surgery. In: Rajendram, R., Preedy, V.R., Patel, V.B. (eds) Diet and Nutrition in Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7836-2_79

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  • DOI: https://doi.org/10.1007/978-1-4614-7836-2_79

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