Need for Multivitamin Use in the Postoperative Period of Gastric Bypass
- 236 Downloads
Based on the reduced gastric volume and the malabsorption produced by Roux-en-Y gastric bypass (RYGBP) and diet therapy, it is essential in the postoperative period to obtain and maintain an adequate nutritional state, with the aim of preventing malnutrition and seeking a healthy life. It is observed that patients have difficulty in understanding the new food choices that must considered, as they have eating habits that are very divergent from those currently proposed. There is often the need for vitamin and mineral replacement after laboratory tests.
This study calculated and evaluated the 24-h eating records of 210 patients, collected in the course of nutritional visits in follow-ups of the first, third, sixth, ninth, 12th, 18th, and 24th months postoperative.
It was possible to observe an increase in the consumption of nutrients in the course of the study period, but it was not regular and significant for all the nutrients. Also, it is noted that the minimal requirements for vitamin A, vitamin C, calcium, iron and B-complex vitamins (except for cyanocobalamin and riboflavin) were not attained. The nutrients in which satisfactory results were obtained were total proteins of high biological value: cyanocobalamin and riboflavin.
This study demonstrated the concern for nutrient supplementation in the postoperative period of RYGBP. Thus, the routine use of multivitamins is deemed necessary after the first month postoperatively, with its maintenance preferably for the rest of the patient’s life, without abandoning periodic clinical and laboratory follow-up.
KeywordsBariatric surgery Morbid obesity Nutritional deficiency DRI
- 4.Fernandes LC, Pucca L, Matos D. Tratamento cirúrgico da obesidade. Jornal Brasileiro de Medicina 2001;80:44–8.Google Scholar
- 5.Rhode BM. Vitamin and mineral supplementation after gastric bypass. In: Deitel M, Cowan GSM Jr, editors. UP DATE: surgery for the morbidly obese patient. Toronto: F-D Communications; 2000. p. 161–70.Google Scholar
- 7.Dalcanale L, Quadros MRR. Analise estatística da variação do estado nutricional no pré e pós-operatório de cirurgia bariátrica. anais do simpósio internacional: temas atuais na prevenção e tratamento da obesidade, Florianópolis; 2003. 11.Google Scholar
- 8.Crowley LV, Seay J, Mullin G. Late effects of gastric bypass for obesity. J Gastroenterol 1984;79:11–15.Google Scholar
- 9.Grace DM. Metabolic complications following gastric restrictive procedures. In: Deitel MC, editor. Surgery for the morbidly obese patient. Portland: Bookmens; 1989. p. 339–50.Google Scholar
- 14.Alves LFA, Gonçalves RM, Cordeiro GV, et al. Beribéri pos bypass gástrico: uma complicação não tão rara. Relato de dois casos e revisão de literatura. Arq bras Endocrinol Metab 2003;50:564–8.Google Scholar
- 20.Casagrande DS, Colossi FG, Rizzoli J, et al. Terapia nutricional para pacientes submetidos à cirurgia bariátrica no centro de obesidade mórbida do hospital São Lucas da PUC/RS. Boletim de Cirurgia da Obesidade 2001;2:7.Google Scholar
- 21.Faria OP, Pereira V, Gangoni CMC, et al. Obesos mórbidos tratados com gastroplastia redutora com bypass gástrico em y de roux: análise de 160 pacientes. Boletim de Cirurgia da Obesidade 2001;2:15–7.Google Scholar
- 22.National Academy of Sciences. Dietary Reference Intakes—DRI reports 2004. http://www.nap.edu.
- 24.Quadros MRR, Filho AJB, Zacarias J. A analise da evolução dietética no pós-operatório de cirurgia bariátrica. Revista Nutrição em Pauta 2005;6:13–5.Google Scholar
- 27.Colossi FG, Casagrande DS, Chatkin R, et al. Need for multi-vitamin use in post-operative period of Roux-en-Y gastric bypass—oral presentation—abstract of the World Congress of Obesity Surgery, IFSO in Porto/Portugal. Obes Surg 2007;17:1031–2.Google Scholar
- 28.Reistein CS. DIETWIN Professional [software de nutrition]. Versão 2.0 for Windows. Porto Alegre, RS; 2003.Google Scholar
- 29.Guy HS, Christine JR, Niccole S, et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsortive bariatric surgery. The Society for Surgery of the Alimentary Tract 2004;5:48–55.Google Scholar
- 35.Waitzberg DL e col. Nutrição oral, enteral e parenteral na prática clínica. 3rd ed. São Paulo: Atheneu; 2000.Google Scholar