| Abstract | BACKGROUND: Biliopancreatic bypass with duodenal switch is a treatment for morbid obesity that combines restriction of dietary intake with a high degree of malabsorption. The operation involves the risk of losing important nutritional elements. MATERIAL AND METHODS: 64 women and 14 men who had a biliopancreatic bypass with duodenal switch performed in 2002 - 2005 and were followed up at least once, six months or later after surgery, were examined with 3 to 6-month intervals for the following; body weight, clinical status, haematological variables, ferritin, folate, albumin, creatinine, retinol, alpha-tocopherol/lipids, vitamin D metabolites, parathyroid hormone, vitamin B1, lipids, glucose and other clinical chemical variables. RESULTS: Weight loss after surgery was substantial and rapid, from a mean of 153.8 kg (SD 30.2) to 92.7 kg (SD 21.6) after one year (n = 74). Low values of serum albumin, creatinine, retinol, 25-OH vitamin D and elevated parathyroid hormone were very common. Four women and three men (9 % of all) with common channels of < 100 cm, required a surgical revision mainly due to hypoalbuminemia. Two women became pregnant before the recommended 18 months after surgery. INTERPRETATION: Biliopancreatic bypass with duodenal switch in patients with common channels < 100 cm, has a high rate of complications and nutritional deficiencies. This surgery should be used restrictively. |
| Authors | Serena Tonstad, Tine Sundfør, Eli Anne Myrvoll
(Affiliation: Avdeling for preventiv kardiologi, Ullevål universitetssykehus, 0407 Oslo. serena.tonstad at uus.no)
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| Journal | Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
(Tidsskr Nor Laegeforen)
Vol. 127
Issue 1
Pg. 50-3
(Jan 4 2007)
ISSN: 0807-7096 Norway |
| Vernacular Title | Ernaeringsstatus etter operativ behandling for fedme. |
| PMID | 17205091
(Publication Type: Case Reports, English Abstract, Journal Article)
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| Chemical References |
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| Topics |
- Adult
- Biliopancreatic Diversion
(adverse effects, methods)
- Dietary Supplements
- Duodenum
(surgery)
- Female
- Humans
- Malabsorption Syndromes
(blood, diet therapy, etiology)
- Male
- Malnutrition
(blood, diet therapy, etiology)
- Middle Aged
- Minerals
(administration & dosage)
- Nutritional Status
- Obesity, Morbid
(surgery)
- Postoperative Complications
(blood, diet therapy)
- Pregnancy
- Risk Factors
- Vitamins
(administration & dosage)
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