Abstract | BACKGROUND: METHODS: This 25-month retrospective study consisted of 22 patients with postoperative complications. Serum albumin, TBPA, medical nutrition care-plans, laboratory data and history were reviewed. These post-RYGBP patients who had BMI>35 and no multi-system organ failure or fistulas, had complications after surgery requiring nutrition support services (NSS). Serum albumin and TBPA were matched to fed levels of protein using random coefficient regression analysis. RESULTS: Mean incremental increases of 2.34 mg/dl (TBPA, P=0.0113) and 0.11 g/dl ( serum albumin, P=0.0272) were found with each 0.5 g protein intake increase/kg ideal body weight/day (kg/IBW/day). Patients required NSS for 23+/-21 (mean+/-SD) days, with 15+/-19 days fed at goal rate. Initial serum albumin was 2.3+/-0.5, with a final measure of 2.7+/-0.5 g/dl. Goal protein and calorie intake were 2.1 g and 17 kcal/kg IBW/day versus actual intake of 1.6 g and 13 kcal/kg IBW/day. CONCLUSION: Morbidly obese patients requiring NSS following RYGBP risk iatrogenic protein malnutrition. There was a positive linear relationship between protein status and protein intake that warrants further study of higher protein feeding in complicated post-RYGBP patients.
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Authors | Elizabeth Rinaldi Schinkel, Stefan M Pettine, Elizabeth Adams, Mary Harris |
Journal | Obesity surgery
(Obes Surg)
Vol. 16
Issue 1
Pg. 24-30
(Jan 2006)
ISSN: 0960-8923 [Print] United States |
PMID | 16417753
(Publication Type: Journal Article)
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Chemical References |
- Albumins
- Dietary Proteins
- Thyroxine-Binding Proteins
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Topics |
- Adult
- Albumins
(analysis)
- Dietary Proteins
- Eating
- Female
- Gastric Bypass
- Humans
- Male
- Middle Aged
- Nutrition Assessment
- Nutritional Status
- Nutritional Support
- Obesity, Morbid
(surgery)
- Postoperative Complications
- Protein-Energy Malnutrition
(etiology, prevention & control)
- Thyroxine-Binding Proteins
(analysis)
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