Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation


Autoria(s): Gasteyger C.; Suter M.; Gaillard R.C.; Giusti V.
Data(s)

2008

Resumo

BACKGROUND: Despite the increasing use of Roux-en-Y gastric bypass (RYGBP) in the treatment of morbid obesity, data about postoperative nutritional deficiencies and their treatment remain scarce. OBJECTIVE: The aim of this study was to evaluate the efficacy of a standard multivitamin preparation in the prevention and treatment of nutritional deficiencies in obese patients after RYGBP. DESIGN: This was a retrospective study of 2 y of follow-up of obese patients after RYGBP surgery. Between the first and the sixth postoperative months, a standardized multivitamin preparation was prescribed for all patients. Specific requirements for additional substitutive treatments were systematically assessed by a biologic workup at 3, 6, 9, 12, 18, and 24 mo. RESULTS: A total of 137 morbidly obese patients (110 women and 27 men) were included. The mean (+/-SD) age at the time of surgery was 39.9 +/- 10.0 y, and the body mass index (in kg/m(2)) was 46.7 +/- 6.5. Three months after RYGBP, 34% of these patients required at least one specific supplement in addition to the multivitamin preparation. At 6 and 24 mo, this proportion increased to 59% and 98%, respectively. Two years after RYGBP, a mean amount of 2.9 +/- 1.4 specific supplements had been prescribed for each patient, including vitamin B-12, iron, calcium + vitamin D, and folic acid. At that time, the mean monthly cost of the substitutive treatment was $34.83. CONCLUSION: Nutritional deficiencies are very common after RYGBP and occur despite supplementation with the standard multivitamin preparation. Therefore, careful postoperative follow-up is indicated to detect and treat those deficiencies.

Identificador

http://serval.unil.ch/?id=serval:BIB_CC1D1CF5015B

isbn:0002-9165

pmid:18469230

isiid:000255880500005

Idioma(s)

en

Fonte

American Journal of Clinical Nutrition, vol. 87, no. 5, pp. 1128-1133

Palavras-Chave #Adult; Body Mass Index; Calcium; Female; Folic Acid; Follow-Up Studies; Gastric Bypass; Humans; Iron; Male; Nutrition Disorders; Nutritional Requirements; Nutritional Status; Obesity, Morbid; Postoperative Complications; Retrospective Studies; Vitamin B 12; Vitamin D; Vitamins; Weight Loss
Tipo

info:eu-repo/semantics/article

article