Protein malnutrition after Roux-en-Y gastric bypass: a challenging case and scoping review of the literature.
Details
Serval ID
serval:BIB_FBAEFCDE6D64
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Protein malnutrition after Roux-en-Y gastric bypass: a challenging case and scoping review of the literature.
Journal
Surgery for obesity and related diseases
ISSN
1878-7533 (Electronic)
ISSN-L
1550-7289
Publication state
Published
Issued date
07/2023
Peer-reviewed
Oui
Volume
19
Number
7
Pages
746-754
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Although protein malnutrition (PM) is often reported after highly malabsorptive procedures, its exact incidence and mechanisms after Roux-en-Y gastric bypass (RYGB) are poorly understood. The aim of this study was to present a challenging clinical case of PM after RYGB and conduct a scoping review of the literature. Among the 18 studies with 3015 RYGB patients included in the review, the median incidence of PM was 1.7% (range, 0%-8.9%), and it was diagnosed 12 to 120 months after RYGB. The most common cause is insufficient oral intake of protein; however, in cases of persistent hypoalbuminemia, a thorough diagnostic workup needs to be performed. Risk factors for PM after RYGB include specific triggering events such as intractable vomiting and dysphagia, and a total alimentary limb length less than 250 to 300 cm.
Keywords
Humans, Gastric Bypass/adverse effects, Gastric Bypass/methods, Obesity, Morbid/epidemiology, Body Mass Index, Risk Factors, Malnutrition/etiology, Retrospective Studies, Bariatric surgery, Hypoalbuminemia, Protein malnutrition, Roux-en-Y gastric bypass
Pubmed
Web of science
Open Access
Yes
Create date
17/02/2023 9:02
Last modification date
15/08/2023 5:59