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Intestinal failure after bariatric surgery
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Journal Article
Intestinal failure after bariatric surgery
2013
Overview
Medications were proton pump inhibitors, oral vitamins, and dietary supplements. 12 months after gastric band removal, the patient had lost 80 kg since before banding (weight 47 kg, BMI 18·6 kg/m2) and came to our clinic with cachexia, liver encephalopathy, hypoglycaemia, sarcopenia, oedema, ascites, and diarrhoea. Specific digestive functions were assessed after parenteral nutrition refeeding, under stable conditions and with high oral intake (2500 kcal per day) (appendix).1 Intestinal failure results from obstruction, dysmotility, surgical resection, congenital defect, or disease-associated loss of absorption, and is characterised by the inability to maintain protein-energy, fluid, electrolyte, or micronutrient balance.2 Because the patient did not need any nutritional support before surgery, we thought that gastrojejunal bypass had profoundly altered absorptive function.
Publisher
Elsevier Ltd,Elsevier,Elsevier Limited
Subject
Biological and medical sciences
/ Diarrhea
/ Female
/ Gastroenterology. Liver. Pancreas. Abdomen
/ Gastroplasty - adverse effects
/ Humans
/ Intestinal Diseases - etiology
/ Laparoscopy - adverse effects
/ Liver
/ Liver Failure, Acute - etiology
/ Stomach, duodenum, intestine, rectum, anus
/ Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
/ Surgery of the digestive system
/ Vitamins
