Diet, Supplements and Medications After MGB: Nutritional Outcomes; Avoidance of Iron Deficiency; MGB in Vegetarians

  • Sarfaraz Jalil Baig
  • Pallawi Priya
Chapter

Abstract

Mini-Gastric Bypass (MGB) and One Anastomosis Gastric Bypass (OAGB) are rapidly becoming popular bariatric procedures. The data regarding nutrition following MGB-OAGB are scarce, making it difficult to standardize the follow-up nutritional regime. In this chapter, we evaluate the physiologic changes after MGB-OAGB, partly based on experience with RYGB and collective clinical experience of MGB-OAGB patients. Suggestions are made at the end of the chapter, based on these data, regarding future research and directions.

Keywords

Bariatric surgery Mini-gastric bypass One anastomosis gastric bypass Nutritional deficiencies Bariatric nutrition Iron deficiency anemia Vegetarians 

References

  1. 1.
    Aills L, Blankenship J, Buffington C, Furtado M, Parrott J. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4:S73–S108.CrossRefGoogle Scholar
  2. 2.
    Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: co-sponsored by American Association of Clinical Endocrinologists, the Obesity Ssociety, and American Society for Metabolc & Bariatric Surgery. Surg Obes Relat Dis. 2013;9:159–91.CrossRefGoogle Scholar
  3. 3.
    Lefebvre P, Letois F, Sultan A, et al. Nutrient deficiencies in patients with obesity considering bariatric surgery: a cross-sectional study. Surg Obes Relat Dis. 2014;10:540–6.CrossRefGoogle Scholar
  4. 4.
    Moizé V, Deulofeu R, Torres F. Nutritional intake and prevalence of nutritional deficiencies prior to surgery in a Spanish morbidly obese population. Obes Surg. 2011;21:1382–8.CrossRefGoogle Scholar
  5. 5.
    Ernst B, Thurnheer M, Schmid SM, Schultes B. Evidence for the necessity to systematically assess micronutrient status prior to bariatric surgery. Obes Surg. 2009;19:66–73.CrossRefGoogle Scholar
  6. 6.
    De Luis DA, Pacheco D, Izaola O, et al. Micronutrient status in morbidly obese women before bariatric surgery. Surg Obes Relat Dis. 2013;9:323–7.CrossRefGoogle Scholar
  7. 7.
    Nicoletti CF, Lima TP, Donadelli SP, Salgado W, Marchini JS, Nonino CB. New look at nutritional care for obese patient candidates for bariatric surgery. Surg Obes Relat Dis. 2013;9:520–5.CrossRefGoogle Scholar
  8. 8.
    Schweiger C, Weiss R, Berry E, Keidar A. Nutritional deficiencies in bariatric surgery candidates. Obes Surg. 2010;20:193–7.CrossRefGoogle Scholar
  9. 9.
    Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: micronutrients. Surg Obes Relat Dis. 2017;13:727–41.CrossRefGoogle Scholar
  10. 10.
    Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses: first study from Indian subcontinent. Obes Surg. 2014;24:1430–5.CrossRefGoogle Scholar
  11. 11.
    Chen MC, Lee YC, Lee W-J, Liu HL, Ser KH. Diet behavior and low hemoglobin level after laparoscopic mini-gastric bypass surgery. Hepato-Gastroenterology. 2012;59:2530–2.PubMedGoogle Scholar
  12. 12.
    Musella N, Sousa A, Greco F, De Luca FM, Manno E, Di Stefano C, Milone M, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc. 2014;28:156–63.CrossRefGoogle Scholar
  13. 13.
    Wang W, Wei PL, Lee YC, Huang MT, Chiu CC, Lee WJ. Short-term results of laparoscopic mini-gastric bypass. Obes Surg. 2005;15:648–54.CrossRefGoogle Scholar
  14. 14.
    Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg. 2005;15:1304–8.CrossRefGoogle Scholar
  15. 15.
    Jammu GS, Sharma R. A 7-year clinical audit of 1107 Cases comparing sleeve gastrectomy, Roux-en-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg. 2016;26:926–32.CrossRefGoogle Scholar
  16. 16.
    Luger M, Kruschitz R, Langer F, Prager G, Walker M, Marculescu R, et al. Effects of omega-loop gastric bypass on vitamin D and bone metabolism in morbidly obese bariatric patients. Obes Surg. 2015;25:1056–62.CrossRefGoogle Scholar
  17. 17.
    Bruzzi M, Rau C, Voron T, Guenzi M, Berger A, et al. Single anastomosis or mini-gastric bypass: long-term results and quality of life after a 5-year follow-up. Surg Obes Relat Dis. 2014;9:1–6.Google Scholar
  18. 18.
    Chevallier JM, Arman GA, Guenzi M, Rau C, Bruzzi M, Beaupel N, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25:951–8.CrossRefGoogle Scholar
  19. 19.
    Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248:714–20.PubMedGoogle Scholar
  20. 20.
    Deitel M. A brief history of the surgery for obesity to the present, with an overview of nutritional implications. J Am Coll Nutr. 2013;32:136–42.CrossRefGoogle Scholar
  21. 21.
    Deitel M, Hargroder D, Peraglia C. Mini-gastric bypass for bariatric surgery increasing worldwide. Austin J Surg. 2016;3(3):1092–6.  https://doi.org/10.26420/austinjsurg.2016.1092.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sarfaraz Jalil Baig
    • 1
  • Pallawi Priya
    • 1
  1. 1.Department of Minimal Access SurgeryBelle Vue ClinicKolkataIndia

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