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Protein malnutrition after Roux-en-Y gastric bypass: a challenging case and scoping review of the literature.
Mantziari, Styliani; Abboretti, Francesco; Favre, Lucie; Thomopoulos, Theodoros; Barigou, Mohammed; Demartines, Nicolas; Suter, Michel.
Afiliación
  • Mantziari S; Department of Visceral Surgery, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland; Faculty of Biology and Medicine, Lausanne University (UNIL), Lausanne, Switzerland.
  • Abboretti F; Department of Visceral Surgery, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland; Faculty of Biology and Medicine, Lausanne University (UNIL), Lausanne, Switzerland.
  • Favre L; Faculty of Biology and Medicine, Lausanne University (UNIL), Lausanne, Switzerland; Division of Endocrinology, Diabetology and Metabolism, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
  • Thomopoulos T; Department of Visceral Surgery, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
  • Barigou M; Division of Endocrinology, Diabetology and Metabolism, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
  • Demartines N; Department of Visceral Surgery, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland; Faculty of Biology and Medicine, Lausanne University (UNIL), Lausanne, Switzerland.
  • Suter M; Department of Visceral Surgery, Lausanne University Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland; Faculty of Biology and Medicine, Lausanne University (UNIL), Lausanne, Switzerland; Department of Surgery, Riviera-Chablais Hospital, Rennaz, Switzerland. Electronic address
Surg Obes Relat Dis ; 19(7): 746-754, 2023 07.
Article en En | MEDLINE | ID: mdl-36702647
Although protein malnutrition (PM) is often reported after highly malabsorptive procedures, its exact incidence and mechanisms after Roux-en-Y gastric bypass (RYGB) are poorly understood. The aim of this study was to present a challenging clinical case of PM after RYGB and conduct a scoping review of the literature. Among the 18 studies with 3015 RYGB patients included in the review, the median incidence of PM was 1.7% (range, 0%-8.9%), and it was diagnosed 12 to 120 months after RYGB. The most common cause is insufficient oral intake of protein; however, in cases of persistent hypoalbuminemia, a thorough diagnostic workup needs to be performed. Risk factors for PM after RYGB include specific triggering events such as intractable vomiting and dysphagia, and a total alimentary limb length less than 250 to 300 cm.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Gástrica / Desnutrición Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Surg Obes Relat Dis Asunto de la revista: METABOLISMO Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Gástrica / Desnutrición Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Surg Obes Relat Dis Asunto de la revista: METABOLISMO Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos