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23.07.2021 | Review

Micronutrients deficiences in patients after bariatric surgery

verfasst von: Amin Gasmi, Geir Bjørklund, Pavan Kumar Mujawdiya, Yuliya Semenova, Massimiliano Peana, Alexandru Dosa, Salva Piscopo, Asma Gasmi Benahmed, Daniel Ovidiu Costea

Erschienen in: European Journal of Nutrition | Ausgabe 1/2022

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Abstract

Bariatric surgery is an effective option for managing obesity and has gained general acceptance among patients in recent years. Generally, despite the high caloric intake, a bad nutritional habit of obese people results in the deficiency of several vitamins, minerals, and trace elements essential for body metabolism and normal physiological processes. Additionally, the current bariatric surgical approaches such as sleeve gastrectomy (SG), Roux-en-Y-gastric bypass (RYGB), laparoscopic adjustable gastric banding (LAGB), and jejunoileal bypass (JIB) can cause or exacerbate these deficiencies. Based on several reports, it appears that the various bariatric surgical procedures affect nutrient absorption differently. Being purely restrictive, LAGB and SG affect the absorption of iron, selenium, and vitamin B₁₂, while RYGB, JIB, and biliopancreatic diversion have a more profound impact on the absorption of essential vitamins, minerals, and trace elements. Nutritional deficiencies in vitamins, minerals, and trace elements may follow bariatric surgery and are associated with clinical manifestations and diseases, including anemia, ataxia, hair loss, and Wernicke encephalopathy. The present review summarizes some of the major vitamin and micronutrient deficiencies associated with bariatric surgery, particularly those presented post-surgically. To avoid any adverse consequences of vitamin and trace element deficiency, proper monitoring and tests are recommended at any stage, from pre- to post-surgery (periodical check-up), followed by specific and individual nutritional supplementation treatments and a proper healthy diet.

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Titel: Micronutrients deficiences in patients after bariatric surgery
verfasst von: Amin Gasmi
Geir Bjørklund
Pavan Kumar Mujawdiya
Yuliya Semenova
Massimiliano Peana
Alexandru Dosa
Salva Piscopo
Asma Gasmi Benahmed
Daniel Ovidiu Costea
Publikationsdatum: 23.07.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 1/2022
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-021-02619-8

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Micronutrients deficiences in patients after bariatric surgery

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