Obesity and Bariatric Surgery

Yurcisin, Basil M.; Gaddor, Moataz; DeMaria, Eric J.

doi:10.1016/j.ccm.2009.05.013

Cited by 30 publications

(19 citation statements)

References 101 publications

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“…the rest of the distal jejunum, ileum and colon), the higher the degree of malabsorption. [53][54][55] The type and degree of vitamin deficiency and minerals are also bound to possible post-operative complications such as problems of bacterial overgrowth, food intolerance, or vomiting.…”

Section: Nutritional Deficiency In Vitamin D After Bariatric Surgerymentioning

confidence: 99%

Vitamin D alteration associated with obesity and bariatric surgery

Lespessailles

Toumi

2017

Exp Biol Med (Maywood)

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Obesity and severe obesity constitute growing serious health problems reaching epidemic proportion in most countries with a prevalence increasing from 6.4 in 1975 to 14.9% in 2014. This present review summarizes currently available data on vitamin D deficiencies in the obese population before and after bariatric surgery. The important evidence emerging from our evaluation confirms that obese patients are at risk of multiple nutritional deficiencies, especially vitamin D deficiency, before bariatric surgery. Our survey confirms that the precise role of the gut microbiome and its associated changes on the vitamin D metabolism after the different bariatric surgery procedures has not yet been studied. Furthermore, whether differences in the microbiota may alter the therapeutic responses to vitamin D is not known. AbstractObesity and severe obesity constitute growing serious health problems reaching epidemic proportion in most countries. Interactions and relationships between obesity and bone tissue and its metabolism are complex but are more and more studied and recognized. Obesity is associated with an altered hormonal profile including particularly bone-regulating hormones like vitamin D. Bariatric surgery procedures, thanks to their effectiveness to achieve therapeutic endpoints for comorbidities associated with obesity, have had an increasing success. However, these surgeries by producing mechanical restriction and or malabsorption syndrome lead to nutritional deficiencies including vitamin D. In this review, we aim to (1) discuss the nutritional deficiency of vitamin D in the obese, (2) to summarize the different surgical options in bariatric surgery and to present the evidence concerning these procedures and their associated profile in vitamin D post-operative insufficiency, (3) to present the different recommendations in clinical practice to prevent or treat vitamin D deficiencies or insufficiencies in patients treated by bariatric surgery and finally to introduce emerging assumptions on the relationship between vitamin D, microbiota composition and circulating bile acids.

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Section: Nutritional Deficiency In Vitamin D After Bariatric Surgerymentioning

confidence: 99%

Vitamin D alteration associated with obesity and bariatric surgery

Lespessailles

Toumi

2017

Exp Biol Med (Maywood)

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“…In Brazil, 56.9% of the adult population is overweight, representing 82 million people, with 13% classified as obese 2 . The condition is associated with several chronic and/or degenerative co-morbidities such as type II diabetes, systemic arterial hypertension, coronary heart disease and strokes 3 .…”

Section: Introductionmentioning

confidence: 99%

Influence of body mass index and age on the lung function of obese women

Sgariboldi

Faria

Carbinatto

et al. 2016

Rev. bras. geriatr. gerontol.

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Introduction: Obesity and aging may cause changes in lung function. Objective: to assess whether body mass, body mass index (BMI) and age influences vital capacity (VC) and forced expiratory volume in the first second (FEV 1 ) in women. Methods: 81 women aged between 30 and 75 years participated in the study. The sample included obese and morbidly obese, non-smoking, sedentary individuals without chronic lung disorders. Anamnesis, anthropometric and spirometric evaluations were performed. Statistical analysis was carried out using the Pearson correlation and Spearman tests, adopting a significance level of 5%. Results: It was observed that age had significant and negative correlations with VC and its components: inspiratory reserve volume (IRV), expiratory reserve volume (ERV) and tidal volume (TV), and with FEV 1 . There was also a significant positive correlation between body mass and VC and IRV and a significant negative correlation between BMI and ERV. Conclusion: Pulmonary function declines over time. Body mass appears to exert a greater influence on IRV, whereas a greater BMI is associated with a decline in ERV.

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“…Conservative measures for weight reduction in patients with MO such as diet, behavioral modifications, or pharmacotherapy have high failure rates and have not demonstrated long-term substantial benefits [5,6].…”

Section: Discussionmentioning

confidence: 99%

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

Arrangoiz¹

2017

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Laparoscopic adjustable silicone gastric band (LASGB) is frequently used to treat morbidly obese patients worldwide. Complications related to this procedure have increased as the follow-up interval of these patients has increased. Treatment of these complications often includes removal of the silicone band. Herein we report our experience with silicone gastric band removal, discuss the different treatment alternatives, and present a management algorithm. A retrospective review of complications related to LASGB was made from June of 2003 to April of 2010 (eight patients). Techniques of band extraction are discussed and a management algorithm is presented. The mean Body Mass Index at the time of LASGB placement was 39.45 (Range 34.2 -42.8). The median patient's age at the time of LASGB was of 32.6 years (range: 13 to 50 years). The average durability of the silicone band after laparoscopic placement was 67.8 months (range: 6 to 120 months). In three patients (37.5%) the LASGB had perforated the gastric wall and was therefore extracted using a transgastric approach (laparoscopic in two patients and by laparotomy in one patient). In five patients the silicone band had not perforated the stomach and was therefore removed laparoscopically without entering the stomach. The weight was recovered in 37.5% of the patients during follow-up. Management of patients with complications related to LASGB placement must be individualized and should address both the band related complication as well as the obesity problem. Laparoscopic trans-gastric band extraction is ideal when the LASGB has eroded into the stomach and endoscopic extraction is not feasible.

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Obesity and Bariatric Surgery

Cited by 30 publications

References 101 publications

Vitamin D alteration associated with obesity and bariatric surgery

Vitamin D alteration associated with obesity and bariatric surgery

Influence of body mass index and age on the lung function of obese women

Management of Complications Related to Laparoscopic Adjustable Silicone Gastric Band

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