Malnutrition after SADI-S procedure: retrospective analysis of a clinical series.
Autores
José P. Santos; Maria J. Alves, Isabel Mesquita, Teresa Correia, Mário Marcos, Jorge Santos, Paulo Soares
Resumo Introdução
Single-Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy (SADI-S) is a malabsorptive bariatric surgery (BS). Malnutrition after BS e poorly defined. After SADI-S, malnutrition is described in up to 8% of the patients, and the main nutritional deficiencies are vitamin D and folic acid. The management of malnourished patients is multimodal and can involve revisional surgery.
Resumo Métodos
Clinical data was retrospectively collected and analyzed. Body Mass Index (BMI), iron, zinc, vitamin D, folic acid, pre-albumin, albumin, lymphocyte and total cholesterol values were gathered at 6, 12, 24 and 36 months (M) post-operatively.
Resumo Resultados
17 patients were submitted to surgery in a period of 60 M. Follow up was at least 24 months and there were Surgery, Endocrinology and Nutrition appointments. In 17.6% SADI-S was a primary procedure. Pre-operative mean BMI was 53.4kg/m2, and at 6, 12, 24 and 36 M was 34.4, 33.1, 33, 32.1kg/m2 respectively. Percentage of patients with lower-than-normal nutrient values is shown in table 1. There were no re-interventions due to malnutrition.
Resumo Discussão
Malnutrition after malabsorptive bariatric surgery is a feared complication and may require surgical re-intervention. Although frequent follow-up appointments and adequate nutritional support prescription, several patients had nutritional deficits. Key aspects such as improvement of patient compliance and pre-operative nutritional assessment should not be forgotten.