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bariatric surgery nutrition

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https://www.readbyqxmd.com/read/29659692/bone-health-following-bariatric-surgery-implications-for-management-strategies-to-attenuate-bone-loss
#1
Tair Ben-Porat, Ram Elazary, Shiri Sherf-Dagan, Ariela Goldenshluger, Ronit Brodie, Yoav Mintz, Ram Weiss
Bariatric surgery (BS) is an effective treatment for morbid obesity and its associated comorbidities. Following such a procedure, however, patients are at risk of developing metabolic bone disease owing to the combination of rapid weight loss, severely restricted dietary intake, and reduced intestinal nutrient absorption. Patients undergoing malabsorptive procedures are at a higher risk of postoperative bone health deterioration than those undergoing restrictive procedures; however, studies have demonstrated negative skeletal consequences of restrictive procedures as well...
March 1, 2018: Advances in Nutrition
https://www.readbyqxmd.com/read/29619914/iron-deficiency-after-bariatric-surgery-what-is-the-real-problem
#2
Nele Steenackers, Bart Van der Schueren, Ann Mertens, Matthias Lannoo, Tara Grauwet, Patrick Augustijns, Christophe Matthys
The growing prevalence of obesity explains the rising interest in bariatric surgery. Compared with non-surgical treatment options, bariatric surgery results in greater and sustained improvements in weight loss, obesity associated complications, all-cause mortality and quality of life. These encouraging metabolic and weight effects come with a downside, namely the risk of nutritional deficiencies. Particularly striking is the risk to develop iron deficiency. Postoperatively, the prevalence of iron deficiency varies between 18 and 53 % after Roux-en-Y gastric bypass and between 1 and 54 % after sleeve gastrectomy...
April 5, 2018: Proceedings of the Nutrition Society
https://www.readbyqxmd.com/read/29599903/liver-failure-caused-by-prolonged-state-of-malnutrition-following-bariatric-surgery
#3
Willem J Lammers, Antonie Jp van Tilburg, Jan A Apers, Janneke Wiebolt
Bariatric surgery is an effective tool in the treatment of patients with morbid obesity. In these case reports we describe 2 patients who developed liver failure after currently-practiced types of bariatric surgery, caused by a prolonged state of malnutrition provoked by psychiatric problems. Despite intensive guidance of a psychologist and dieticians after surgery, our patients deteriorated psychologically, resulting in a prolonged state of severe malnutrition and anorexia. Finally, a state of starvation was reached, passing a critical level of the liver capacity...
March 27, 2018: World Journal of Hepatology
https://www.readbyqxmd.com/read/29574529/predictors-of-fat-free-mass-loss-1-year-after-laparoscopic-sleeve-gastrectomy
#4
B Guida, M Cataldi, L Busetto, M L Aiello, M Musella, D Capone, S Parolisi, V Policastro, G Ragozini, A Belfiore
PURPOSE: Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric surgery interventions because of its safety and efficacy. Nevertheless, concerns have been raised on its detrimental effect on patient nutritional state that can ultimately lead to the loss of fat-free mass (FFM). There is interest in identifying predictors for the early identification of patients at risk of this highly unwanted adverse because they could benefit of nutritional preventive interventions...
March 24, 2018: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29571605/emotional-eating-behavior-hinders-body-weight-loss-in-women-after-roux-en-y-gastric-bypass-surgery
#5
Isabelle Romero Novelli, Laís Gomes Fonseca, Daniela Lopes Gomes, Eliane Said Dutra, Kênia Mara Baiocchi de Carvalho
OBJECTIVE: Successful weight loss and maintenance after Roux-en-Y gastric bypass (RYGB) may be related to eating behavior. The aim of this study was to assess the eating behavior domains that prevail in women during the RYGB postoperative period and their associations with surgery outcome. METHODS: This cross-sectional study investigated eating behavior in 95 women (47.3 ± 9.8 y old)  ≥ 2 y after Roux-en-Y gastric bypass. Patients were grouped according to surgery outcome: successful group (SG; n = 67), defined as having lost ≥ 50% of the preoperative excess weight loss (EWL), and an unsuccessful group (UG; n = 28)...
May 2018: Nutrition
https://www.readbyqxmd.com/read/29570542/caring-for-the-orthopaedic-patient-with-a-history-of-bariatric-surgery
#6
Allyson S Chicoski
Bariatric surgery is performed on the gastrointestinal tract as a solution to obesity, and prevalence of these surgical procedures continues to rise. Bariatric surgery creates restrictive and/or malabsorptive properties, causing nutritional deficits from the physiological changes in absorption and a hypoacidic environment. Although surgery induces sustained weight loss, decreases mortality, and provides resolution or improvement to comorbidities of obesity, it can also come with complications. Common long-term complications of bariatric surgery include malnutrition, anemia, impaired wound healing, and impaired bone health...
March 2018: Orthopaedic Nursing
https://www.readbyqxmd.com/read/29568984/malnutrition-after-bariatric-surgery-requiring-artificial-nutrition-supplies
#7
Céline Loddo, Florian Poullenot, Pauline Rivière, Emilie Pupier, Maud Monsaingeon-Henry, Caroline Gronnier, Denis Collet, Blandine Gatta-Cherifi
No abstract text is available yet for this article.
March 22, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29560648/metabolic-and-nutritional-complications-of-bariatric-surgery-a-review
#8
REVIEW
L Mesureur, M Arvanitakis
Bariatric surgery is considered as the only effective durable weight-loss therapy and may be curative for obesity-related comorbidities such as diabetes. Nevertheless this surgery is not devoid of potential long-term complications such as dumping syndrome, gastroesophageal reflux disease and nutrient deficiencies. For this reason, preoperative nutritional assessment and rigorous postoperative follow-up with administration of multi-vitamins supplements and assessment of serum levels is recommended for each patient who is undergoing a bariatric surgery...
October 2017: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/29555209/regulation-of-angiopoietin-like-4-and-lipoprotein-lipase-in-human-adipose-tissue
#9
Wieneke Dijk, Sophie Schutte, Edo O Aarts, Ignace M C Janssen, Lydia Afman, Sander Kersten
BACKGROUND: Elevated plasma triglycerides are increasingly viewed as a causal risk factor for coronary artery disease. One protein that raises plasma triglyceride levels and that has emerged as a modulator of coronary artery disease risk is angiopoietin-like 4 (ANGPTL4). ANGPTL4 raises plasma triglyceride levels by inhibiting lipoprotein lipase (LPL), the enzyme that catalyzes the hydrolysis of circulating triglycerides on the capillary endothelium. OBJECTIVE: The objective of the present study was to assess the association between ANGPTL4 and LPL in human adipose tissue, and to examine the influence of nutritional status on ANGPTL4 expression...
February 17, 2018: Journal of Clinical Lipidology
https://www.readbyqxmd.com/read/29547850/malnutrition-secondary-to-gastrojejunal-stricture-after-biliopancreatic-diversion
#10
Belén Pérez-Pevida, Daniela Stefania Trifu, Anna Kamocka, Julia Álvarez Hernández
CONTEXT: Bariatric surgery has beneficial effects on obesity and associated comorbidities such as glycaemic control in type 2 diabetes, dyslipidaemia, hypertension, and renal and hepatic function. Nevertheless, this surgery is not free of complications and possible side effects due to restrictive and/or malabsorptive related components. CASE DESCRIPTION: We report the case of a 60-year-old woman whose past medical history included morbid obesity, hypertension and Scopinaro biliopancreatic diversion (BPD) with duodenal switch in 1998...
March 1, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29537411/bariatric-surgery-as-a-treatment-for-metabolic-syndrome
#11
P Cordero, J Li, J A Oben
Obesity is the pandemic of the 21st century. Obesity comorbidities, including hypertension, dyslipidaemia and glucose intolerance define metabolic syndrome, which increases mortality risk and decreases the quality of life. Compared with lifestyles (diet and physical activity) and pharmacological interventions, bariatric surgery is by far the most effective treatment for obesity and its comorbidities. This minimally invasive surgical treatment is based on an increase of satiety (by hormonal regulation and decreasing stomach volume) or a decrease in nutrient retention (gastric and/or intestinal resection)...
December 2017: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29516396/variation-in-exhaled-acetone-and-other-ketones-in-patients-undergoing-bariatric-surgery-a-prospective-cross-sectional-study
#12
Piers R Boshier, Matyas Fehervari, Sheraz R Markar, Sanjay Purkayastha, Patrik Spanel, David Smith, George B Hanna
BACKGROUND: Dietary restriction together with alteration of the gastrointestinal tract results in major metabolic changes and significant weight loss in patients undergoing bariatric surgery. Current methods of measuring these changes are often inaccurate and lack a molecular basis. The objective of this study was to determine the role of exhaled ketones as non-invasive markers of nutritional status in patients undergoing surgical treatment of obesity. METHODS: Patients at different stages of treatment for obesity were recruited to this single-centre cross-sectional study...
March 7, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29515430/bitot-s-spots-following-bariatric-surgery-an-ocular-manifestation-of-a-systemic-disease
#13
Amanda R Crum, Divya Srikumaran, Fasika Woreta
Background: To present a case of ocular complications from vitamin A deficiency following bariatric surgery. Case Report: A 41-year-old woman presented with symptoms of dryness and diminished night vision. Examination revealed corneal punctate staining, keratinization of the conjunctiva, and multiple mid-peripheral white lesions at the level of the retinal pigment epithelium. Given the patient's history of bariatric surgery, anemia, and vitamin D deficiency, further investigation into micronutrient levels was performed and indicated a severe vitamin A deficiency...
September 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29512037/weight-loss-and-timing-of-j-tube-removal-in-biliopancreatic-diversion-with-duodenal-switch-patients-who-report-physical-or-sexual-abuse
#14
Polly A Hulme, Kevin A Kupzyk, Gary J Anthone, Kimberly A Capron, Thang Nguyen
BACKGROUND: Bariatric surgery patients who report physical or sexual abuse form a sizeable cohort that stands out due to psychological comorbidity. Their possible vulnerability to suboptimal weight loss remains of interest. Their risk for malnutrition due to inadequate oral intake following surgery is underexplored. OBJECTIVES: Study aims were to determine the effect of self-reported physical or sexual abuse in patients undergoing open biliopancreatic diversion with duodenal switch (BPD/DS) on (a) 3-year weight loss trajectories and (b) timing of feeding jejunostomy tube (J tube) removal...
March 6, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29475822/gastric-perforation-as-a-complication-of-intragastric-balloon
#15
Ahmed Arifur Rahman, Ken Loi
Obesity is considered the most common nutritional disorder in Western countries and is related to multiple morbidity and mortality. There are different options for obesity treatment, including diet, behavioral therapy, medications, and surgery. If patients do not meet the criteria for bariatric surgery, intragastric balloons may be used to achieve weight reduction. Currently, the intragastric balloon is one of the most common bariatric procedures in obese patients in Europe. Gastric perforation associated with intragastric balloon is a rare but dangerous complication...
January 31, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29464229/management-of-bariatric-patients-beyond-the-scalpel
#16
Natasha Yates, Victor Liew, Jen-Mari Mouton, Jenne Turner, Amanda White, Jack Smith
BACKGROUND: Obesity management in general practice sometimes involves referral of patients for bariatric surgery. Integral to the success of long-term weight loss maintenance is supporting the patient's psychological, nutritional and exercise needs. OBJECTIVE: This article is written to equip general practitioners (GPs) to manage the comprehensive needs, before and after bariatric surgery, of patients who are obese. DISCUSSION: The number of patients undergoing bariatric surgery in Australia has increased significantly in the past few years...
December 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29457204/prevention-and-management-of-childhood-obesity
#17
Aashima Dabas, Anju Seth
Childhood obesity has been recognized as a global pandemic. Preventive strategies have proven to be the most effective public health intervention in curbing this pandemic. A multi-component approach involving dietary modification and advocacy for a healthy lifestyle comprising of regular physical activity, minimizing screen time and behavioral interventions have been found beneficial in preventing obesity. A life-cycle approach has been recommended where preventive interventions go as far back as affecting maternal, fetal and early childhood nutrition and lifestyle...
February 19, 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/29455404/the-effect-of-pre-surgery-information-online-lecture-on-nutrition-knowledge-and-anxiety-among-bariatric-surgery-candidates
#18
Shiri Sherf-Dagan, Keren Hod, Limor Mardy-Tilbor, Shir Gliksman, Tair Ben-Porat, Nasser Sakran, Shira Zelber-Sagi, David Goitein, Asnat Raziel
INTRODUCTION: Best practices for patient education in bariatric surgery (BS) remain undefined. The aims of this study were to evaluate the effect of an online lecture on nutrition knowledge, weight loss expectations, and anxiety among BS candidates and present a new tool to assess this knowledge before BS. METHODS: An interventional non-randomized controlled trial on 200 BS candidates recruited while attending a pre-BS committee. The first 100 consecutive patients were assigned to the control group and the latter 100 consecutive patients to the intervention group and were instructed to watch an online lecture of 15-min 1-2 weeks prior to surgery...
February 17, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29452044/food-addiction-is-associated-with-higher-neuroticism-lower-conscientiousness-higher-impulsivity-but-lower-extraversion-in-obese-patient-candidates-for-bariatric-surgery
#19
Paul Brunault, Pierre-Henri Ducluzeau, Robert Courtois, Céline Bourbao-Tournois, Irène Delbachian, Christian Réveillère, Nicolas Ballon
BACKGROUND: The "food addiction" phenotype identifies a subpopulation of individuals experiencing substance-dependence symptoms toward specific foods. In the current debate on whether the "food addiction" phenotype should be considered as an addictive disorder, assessment of the personality traits associated with this phenotype would provide arguments for or against the "food addiction" phenotype and its inclusion in the "substance-related and addictive disorder" category...
February 16, 2018: Substance Use & Misuse
https://www.readbyqxmd.com/read/29443403/proceedings-of-the-2017-aspen-research-workshop-gastric-bypass-role-of-the-gut
#20
REVIEW
Ajay Kumar Jain, Carel W le Roux, Puneet Puri, Ali Tavakkoli, Nana Gletsu-Miller, Blandine Laferrère, Richard Kellermayer, John K DiBaise, Robert G Martindale, Bruce M Wolfe
The goal of the National Institutes of Health-funded American Society for Parenteral and Enteral Nutrition 2017 research workshop (RW) "Gastric Bypass: Role of the Gut" was to focus on the exciting research evaluating gut-derived signals in modulating outcomes after bariatric surgery. Although gastric bypass surgery has undoubted positive effects, the mechanistic basis of improved outcomes cannot be solely explained by caloric restriction. Emerging data suggest that bile acid metabolic pathways, luminal contents, energy balance, gut mucosal integrity, as well as the gut microbiota are significantly modulated after bariatric surgery and may be responsible for the variable outcomes, each of which was rigorously evaluated...
February 2018: JPEN. Journal of Parenteral and Enteral Nutrition
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