Surgical Treatment for Severe Protein-Calorie Malnutrition After Bariatric Surgery

  • Reginaldo CenevivaEmail author
  • Wilson Salgado Junior
Living reference work entry


Obesity is a chronic and universal disease that has reached global epidemic proportions and is one of the ten greatest health risks that can be prevented. Medical treatment results in a limited and usually transitory weight loss, especially among the more obese patients. The frequent failure of conservative therapy, coupled with worsening of quality of life and possible reduction of survival, favors the indication of surgical treatment.

Bariatric surgeries are an efficacious treatment for morbid obesity, but they are not free of early or late complications, including severe protein-calorie malnutrition. Although few evidence-based studies are available to instruct decisions about strategies and managements, emphasis was placed on the description of the more accepted surgical revision procedures as based on relevant publications and on some anatomical and physiological features.


Obesity Bariatric surgery Sleeve gastrectomy Roux-en-Y gastric bypass Malabsorptive bariatric procedures Bariatric surgery complications Malnutrition Protein-calorie malnutrition Protein-energy malnutrition Surgical revision treatment 

List of Abbreviations


Acquired immunodeficiency syndrome


Alimentary limb


Body mass index


Biliopancreatic diversion


Biliopancreatic diversion/duodenal switch


Biliopancreatic limb


Common channel


Distal Roux-en-Y gastric bypass


International Federation for the Surgery of Obesity and Metabolic Disorders


Protein-calorie malnutrition


Roux-en-Y gastric bypass


Sleeve gastrectomy (or vertical gastrectomy)


Severe protein-calorie malnutrition


Stomach size


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Surgery and Anatomy, Faculty of Medicine of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil

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