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Surgical Treatment for Severe Protein-Calorie Malnutrition After Bariatric Surgery

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Handbook of Famine, Starvation, and Nutrient Deprivation

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Abstract

Obesity is a chronic and universal disease that has reached global epidemic proportions and is one of the ten greatest health risks that can be prevented. Medical treatment results in a limited and usually transitory weight loss, especially among the more obese patients. The frequent failure of conservative therapy, coupled with worsening of quality of life and possible reduction of survival, favors the indication of surgical treatment.

Bariatric surgeries are an efficacious treatment for morbid obesity, but they are not free of early or late complications, including severe protein-calorie malnutrition. Although few evidence-based studies are available to instruct decisions about strategies and managements, emphasis was placed on the description of the more accepted surgical revision procedures as based on relevant publications and on some anatomical and physiological features.

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Abbreviations

AIDS:

Acquired immunodeficiency syndrome

AL:

Alimentary limb

BMI:

Body mass index

BPD:

Biliopancreatic diversion

BPD/DS:

Biliopancreatic diversion/duodenal switch

BPL:

Biliopancreatic limb

CC:

Common channel

DRYGB:

Distal Roux-en-Y gastric bypass

IFSO:

International Federation for the Surgery of Obesity and Metabolic Disorders

PCM:

Protein-calorie malnutrition

RYGB:

Roux-en-Y gastric bypass

SG:

Sleeve gastrectomy (or vertical gastrectomy)

SPCM:

Severe protein-calorie malnutrition

SS:

Stomach size

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Authors and Affiliations

  1. Department of Surgery and Anatomy, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil

    Reginaldo Ceneviva & Wilson Salgado Junior

Authors
  1. Reginaldo Ceneviva
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  2. Wilson Salgado Junior
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Corresponding author

Correspondence to Reginaldo Ceneviva .

Editor information

Editors and Affiliations

  1. Diabetes & Nutritional Sci Div Sch, King's College London, London, United Kingdom

    Victor Preedy

  2. Clinical Biochemistry, University of Westminster, Westminster, United Kingdom

    Vinood B. Patel

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Ceneviva, R., Salgado Junior, W. (2018). Surgical Treatment for Severe Protein-Calorie Malnutrition After Bariatric Surgery. In: Preedy, V., Patel, V. (eds) Handbook of Famine, Starvation, and Nutrient Deprivation. Springer, Cham. https://doi.org/10.1007/978-3-319-40007-5_102-1

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  • DOI: https://doi.org/10.1007/978-3-319-40007-5_102-1

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  • Print ISBN: 978-3-319-40007-5

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