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Surgical Treatment for Severe Protein-Calorie Malnutrition After Bariatric Surgery

  • Reginaldo Ceneviva
  • Wilson Salgado Junior
Living reference work entry

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.

Keywords

Obesity Bariatric surgery Sleeve gastrectomy Roux-en-Y gastric bypass Malabsorptive bariatric procedures Bariatric surgery complications Malnutrition Protein-calorie malnutrition Protein-energy malnutrition Surgical revision treatment 

List of 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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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Surgery and Anatomy, Faculty of Medicine of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil

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