Keywords
Gastric bypass
Obesity
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: Identify nutritional deficiencies in the literature throughout the postoperative period and to verify the adequacy of supplementation and diet in patients undergoing Roux-en-Y gastric bypass surgery. Methods: A bibliographic survey of scientific articles from 2013 to 2021 was carried out through the PubMed, SciELO, Periódico Capes and LILACS databases. Results: 110 articles were found, of which 12 met the criteria of this study. The results showed that throughout the postoperative period, the iron deficit increased significantly and the use of vitamin supplements, as well as adherence to the diet, still represents a factor of inadequacy and contributes to the emergence of nutritional deficiencies. Final considerations: Monitoring after surgery by the doctor and a nutritionist becomes essential, especially in the long term, both in the identificationof nutritional deficiencies and in the acceptance of supplements and an adequate diet in order to minimize health risks.
References
ANTONIEWICZ A, et al. Nutritional deficiencies in patients after Roux-en-Y gastric bypass and leeve gastrectomy during 12-month follow-up. Obesitysurgery, 2019; 29(10): 3277-3284.
ARIAS PM, et al. Micronutrient deficiencies after Roux-en-Y gastric bypass: long-term results. Obesity surgery, 2020; 30(1): 169-173.
ARONSON D, et al. The impact of body mass index on clinical outcomes after acute myocardial infarction. International journal of cardiology, 2010; 145(3): 476-480.
ENGEBRETSEN KV, et al. Anemia following Roux-en-Y gastric bypass for morbid obesity; a 5-year follow-up study. Scandinavian journal of gastroenterology, 2018; 53(8): 917-922.
FERRAZ ÁAB, et al. Deficiências de micronutrientes após cirurgia bariátrica: análise comparativa entre gastrectomia vertical e derivação gástrica em Y de Roux. Revista do Colégio Brasileiro de Cirurgiões, 2018; 45(6).
FERREIRA DVM. Estado nutricional e prevalência de deficiências nutricionais de pacientes submetidos ao bypass gástrico em Y-de-Roux, com 10 anos de seguimento. Dissertação (Mestrado em Ciências da Saúde). Pontifícia Universidade Católica de Campinas, Campinas, 2016; 181p.
JAVANAINEN M, et al. Two-Ye ar Nutrition Data in Terms of Vitamin D, Vitamin B12, and Albumin After Bariatric Surgery and Long-term Fracture Data Compared with Conservatively Treated Obese Patients: a Retrospective Cohort Study. Obesity surgery, 2018; 28(9): 2968-2975.
KAREFYLAKIS C, et al. Prevalence of anemia and related deficiencies 10 years after gastric bypass—a retrospective study. Obesity surgery, 2014; 25(6): 1019-1023.
KOVALESKI ES, et al. Perfil farmacoterapêutico de pacientes obesos no pós-operatório de cirurgia bariátrica. Jornal Vascular Brasileiro, 2016; 15(3): 182-188.
LAMARCA F, et al. Effects of resistance training with or without protein supplementation on body composition and resting energy expenditure in patients 2–7 years post Roux-en-Y gastric bypass: a controlled clinical trial. Obesity Surgery, 2021; 31(4): 1635-1646.
LEDOUX S, et al. Long-term evolution of nutritional deficiencies after gastric bypass: an assessment according to compliance to medical care. Annals of surgery, 2014; 259(6): 1104-1110.
LINHARES RS, et al. Distribuição de obesidade geral e abdominal em adultos de uma cidade no Sul do Brasil. Cadernos de Saúde Pública, 2012; 28(3): 438-447.
MECHANICK JI, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 2013; 21(S1): S1-S27.
MEHAFFEYJH, et al. Nutrient deficiency 10 years following Roux-en-Y gastric bypass: Who’s responsible. Obesity surgery, 2017; 27(5): 1131-1136.
NONINO CB, et al. Características fenotípicas de pacientes com obesidade submetidos a derivação gástrica em y-de-roux: qual as reais mudanças comparando-se 5 a 10 anos de acompanhamento. Arquivos Brasileiros de Cirurgia Digestiva, 2014; 129-144.
RAMOS CP, MELLO ED. Manejo nutrológico no pós-operatório de cirurgia bariátrica. International Journal of Nutrology, 2015; 8(2): 39-49.
RAMOS MRZ, et al. Effects of Lactobacillus acidophilus NCFM and Bifidobacterium lactis Bi-07 Supplementation on Nutritional and Metabolic Parameters in the Early Postoperative Period after Roux-en-Y Gastric Bypass: a Randomized, Double-Blind, Placebo-Controlled Trial. Obesity Surgery, 2021; 31(5): 2105-2114.
RAMOS NMCP, et al. Perda ponderal e presença de anemias carenciais em pacientes submetidos à bypass gástrico em Y-de-Roux em uso de suplementação de vitaminas e minerais. Arq. Bras. Cir. Dig., 2015; 28(1): 44-7.
RENTEL RCG. Análise da tolerância alimentar, perda de peso e aspectos nutricionais no pós-operatório de 1 ano da gastroplastia redutora em y de roux com anel gástrico.Tese (Doutorado em ciências). Universidade Estadual de Campinas, Campinas, 2019;121p.
RUZ M, et al. Zinc absorption and zinc status are reduced after either sleeve gastrectomy or Roux-en-Y gastric bypass in premenopausal women with severe obesity studied prospectively over 24 postoperative months. The American Journal of Clinical Nutrition, 2021.
SEGURA DCA, et al. Deficiências nutricionais e suplementação em indivíduos submetidos à gastroplastia redutora do tipo Y de Roux. RBONE-Revista Brasileira de Obesidade, Nutrição e Emagrecimento, 2017; 11(65): 338-347.
SKOLNIK NS, RYAN DH. Pathophysiology, epidemiology, and assessment of obesity in adults. Journal of Family Practice, 2014; 63(7): S3-S3.
SOARES JM, et al. Práticas alimentares de pacientes em pós-operatório de cirurgia bariátrica: revisão integrativa. Braspen Journal, 2017; 32(3): 282-287.
SOCIEDADE BRASILEIRA DE CIRURGIA BARIÁTRICA E METABÓLICA (SBCBM). 2017. Quem pode fazer. Disponível em: https://www.sbcbm.org.br/quem-pode-fazer/. Acessado em: 4 de maio de 2021.
VALEZI AC, et al. Weight loss outcome after silastic ring Roux-en-Y gastric bypass: 8 years of follow-up. Obesity surgery, 2010; 20(11): 1491-1495.
VIMALESWARAN KS, et al. Causal relationship between obesity and vitamin D status: bi-directional Mendelian randomization analysis of multiple cohorts. PLoS Med., 2013;10(2): e1001383.
VOGLINO C, et al. Controlling Nutritional Status (CONUT) Score and Micronutrient Deficiency in Bariatric Patients: Midterm Outcomes of Roux-en-Y Gastric Bypass Versus One Anastomosis Gastric Bypass/Mini Gastric Bypass. Obesity Surgery, 2021; 1-12.
WORTSMAN J, et al. Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr. 2000;72(3):690–3. Erratum in: Am J Clin Nutr, 2003; 77(5):1342.
ZYGER, LT, et al. Perfil nutricional e estilo de vida de pacientes pré e pós cirurgia bariátrica. Scientia Medica, 2016; 26(3): 12.