Protein malnutrition after Roux-en-Y gastric bypass: a challenging case and scoping review of the literature.

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State: Public
Version: Final published version
License: CC BY 4.0
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
Author(s)
Mantziari S., Abboretti F., Favre L., Thomopoulos T., Barigou M., Demartines N., Suter M.
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
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
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