Severe malnutrition after bariatric surgery and clinic manifestations of infection

Abstract

SUMMARY This report describes the post-bariatric-surgery evolution of an obese patient who had low adherence to the diet and micronutrient supplementation. Four years after two bariatric surgeries, the patient was admitted due to transient loss of consciousness, slow thinking, anasarca, severe hypoalbuminemia, in addition to vitamin and mineral deficiencies. She had subcutaneous foot abscess but did not present fever. Received antibiotics, vitamins A, D, B12, thiamine, calcium, and parenteral nutrition. After hospitalization (twenty-eight days), there was a significant body weight reduction probably due to the disappearance of clinical anasarca. Parenteral nutrition was suspended after twenty-five days, and the oral diet was kept fractional. After hospitalization (weekly outpatient care), there was a gradual laboratory data improvement, which was now close to the reference values. Such outcome shows the need for specialized care in preventing and treating nutritional complications after bariatric surgeries as well as clinical manifestations of infection in previously undernourished patients.

Evolution of anthropometric data and quality of life in active bariatric individuals

“…Failure to follow-up on treatment after surgery can lead to numerous problems [20][21][22] . However, routine physical activity in association with postsurgical treatment may lead to more satisfactory long-term results than expected 12,23,24 .…”

“…Severe malnutrition and infections can also be minimized with the combination of physical activity and a regular and balanced diet for bariatric patients, with indications and specialized professional monitoring 22 .…”

“…The lack of more significant results is possibly due to the irregular physical activity and a minimally active routine, demonstrating that the irregular physical activity can be harmful after bariatric surgery 13,[20][21][22][23] .…”

Gastrectomia Vertical e Cirurgia de Bypass Gástrico em Y de Roux: complicações cirúrgicas e metabólicas tardias

“…Centro universitário de Caratinga (UNEC), Caratinga -MG 4. Universidade Nilton Lins (UNL), Manaus -AM 5. Centro Universitário INTA (UNINTA), Sobral -CE 6.…”