Влияние бариатрических операций на всасывание пищевых веществ у больных ожирением


Цитировать

Полный текст

Аннотация

Аннотация. В обзоре рассмотрены вопросы нарушений обмена витаминов, минеральных веществ и белка у больных, перенесших бариатрические операции. Положительный эффект хирургического вмешательства доказан, однако пострезекционные синдромы, возникающие в последующем, обусловливают не только наблюдение больного, но и своевременные терапевтические вмешательства с целью предотвращения гиповитаминозов, анемии и нарушений минерального обмена. Имеются противоречивые данные о частоте возникновения этих нарушений. Не разработаны рекомендации по их лечению и профилактике.

Полный текст

Влияние бариатрических операций на всасывание пищевых веществ у больных ожирением. - Аннотация. В обзоре рассмотрены вопросы нарушений обмена витаминов, минеральных веществ и белка у больных, перенесших бариатрические операции. Положительный эффект хирургического вмешательства доказан, однако пострезекционные синдромы, возникающие в последующем, обусловливают не только наблюдение больного, но и своевременные терапевтические вмешательства с целью предотвращения гиповитаминозов, анемии и нарушений минерального обмена. Имеются противоречивые данные о частоте возникновения этих нарушений. Не разработаны рекомендации по их лечению и профилактике.
×

Об авторах

Н А Бодунова

Центральный научно-исследовательский институт гастроэнтерологии Департамента здравоохранения Москвы

Е А Сабельникова

Центральный научно-исследовательский институт гастроэнтерологии Департамента здравоохранения Москвы

Email: sabelnikova_e_a@mail.ru

А И Парфенов

Центральный научно-исследовательский институт гастроэнтерологии Департамента здравоохранения Москвы

Email: asfold@mail.ru
111123 Москва, ш. Энтузиастов, д. 86

Список литературы

  1. Pories W.J., MacDonald K.G. Jr, Morgan E.J. et al. Surgical treatment of obesity and its effect on diabetes: 10-y follow-up. Am J Clin Nutr 1992; 55 (2 suppl): 582-585.
  2. Foley E.F., Benotti P.N., Borlase B.C. et al. Impact of gastric restrictive surgery on hypertension in the morbidly obese. Am J Surg 1992; 163: 294-297.
  3. Gleysteen J.J. Results of surgery: long-term effects on hyperlipidemia. Am J Clin Nutr 1992; 55 (2 suppl): 591-593.
  4. Charuzi I., Lavie P., Peiser J., Peled R. Bariatric surgery in morbidly obese sleep-apnea patients: short- and long- term follow-up. Am J Clin Nutr 1992; 55 (2 suppl): 594-596.
  5. Sugerman H.J., Fairman R.P., Sood R.K. et al. Long-term effects of gastric surgery for treating respiratory insufficiency of obesity. Am J Clin Nutr 1992; 55 (2 suppl): 597-601.
  6. Sugerman H.J., DeMaria E.J. Gastric surgery for morbid obesity. In: Zinner M.J., Schwartz S.I., Ellis H. (eds.) Maingot's Abdominal Operations. 10th ed. Stamford, CT: Appleton & Lange 1997: 1057-1077.
  7. Cummings D.E., Overduin J., Foster-Schubert K.E. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab 2004; 89: 2608-2615.
  8. Cummings D.E., Overduin J., Foster-Schubert K.E., Carlson M.J. Role of the bypassed proximal intestine in the anti-diabetic effects of bariatric surgery. Surg Obes Relat Dis 2007; 3: 109-111.
  9. Hickey M.S., Pories W.J., MacDonald K.G. Jr et al. A new paradigm for type 2 diabetes mellitus: could it be a disease of foregut [with discussion]? Ann Surg 1998; 227: 637-644.
  10. Skroubis G., Anesidis S., Kehagias I. et al. Roux-en-Y gastric bypass versus a variant of biliopancreatic diversion in a non-superobese population: prospective comparison of the efficacy and the incidence of metabolic deficiencies. Obes Surg 2006; 16: 48.
  11. Capella J.F., Capella R.F. An assessment of vertical band- ed gastroplasty-Roux-en-Y gastric bypass for the treatment of morbid obesity. Am J Surg 2002; 183: 117-123.
  12. Regan J.P., Inabnet W.B., Gagner M., Pomp A. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg 2003; 13: 861-864.
  13. van Mastrigt G.A., van Dielen F.M., Severens J.L. et al. One-year cost-effectiveness of surgical treatment of morbid obesity: vertical banded gastroplasty versus Lap-Band. Obes Surg 2006; 16: 75-84.
  14. Flancbaum L., Belsley S, Drake V. et al. Preoperative nutritional status of patients undergoing Roux-en-Y gastric bypass for morbidobesity. J Gastrointest Surg 2006; 10: 1033-1037.
  15. Rabkin R.A., Rabkin J.M., Metcalf B. et al. Nutritional markers following duodenal switch for morbid obesity. Obes Surg 2004; 14: 84-90.
  16. Brolin R.E., LaMarca L.B., Henler H.A., Cody R.P. Malabsorptive gastric bypass in patients with super-obesity. J Gastrointest Surg 2002; 6: 195-203.
  17. Scopino N., Marinari G.M., Camerini G. et al. Energy and nitrogen absorption after biliopancreatic diversion. Obes Surg 2000; 10: 436-441.
  18. Totte E., Hendrickx L., van Hee R. Biliopancreatic diversion for treatment of morbid obesity: experience in 180 consecutive cases. Obes Surg 1999; 9: 161-165.
  19. Marinari G.M., Murelli F., Camerini G. et al. A 15 year evaluation of biliopancreatic diversion according to the bariatric analysis reporting outcome system (BAROS). Obes Surg 2004; 14: 325-328.
  20. Mahan L.K., Escott-Stump S. Medical nutrition therapy for anemia: Krause's food, nutrition, and diet therapy, 10th ed. Philadelphia: WB Saunders 2000; 469: 781-799.
  21. Berger J.R. The neurological complications of bariatric surgery. Arch Neurol 2004; 8: 1185-1189.
  22. Marcuard S.P., Sinar D.R.. Swanson M.S. et al. Absence of luminal intrinsic factor after gastric bypass surgery for morbid obesity. Dig Dis Sci 1989; 34: 1238-1242.
  23. Oxentenko A.S., Litiri S.C. Clinical pearls in gastroenterology. Mayo Clin Proc 2009; 84: 906-911.
  24. Breton O.J, Perez Naranjo S., Gimeno Laborda S. Effectiveness and complications of bariatric surgery in the treatment of morbid obesity. Nutr Hosp 2005; 20: 409-414.
  25. Alvarez-Leite J.I. Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care 2004; 7: 569-575.
  26. MacLean L.D., Rhode B.M., Shizgal H.M. Nutrition following gastric operations for morbid obesity. Ann Surg 1983; 198: 347-355.
  27. Amaral J.F., Thompson W.R., Caldwell M.D. et al. Prospective hematologic evaluation of gastric exclusion surgery for morbid obesity. Ann Surg 1985; 201 (2): 186-193.
  28. Decker G.A. Swain I.M., Crowell M.D., Scolaolo I.S. Gastrointestinal and nutritional complications after barlarric surgery. Am J Gastroenterol 2007; 102: 2571-2580.
  29. Boylan L.M., Sugerman H.J., Driskell J.A. Vitamin E, vitamin B-6, vitamin B-12, and folate status of gastric bypass surgery patients. J Am Diet Assoc 1988; 88 (5): 579-585.
  30. Halverson J.D. Micronutrient deficiencies after gastric bypass for morbid obesiry. Am Surg 1986; 52: 594-598.
  31. Mallory G.N., Macgregor A.M. Folate status following gastric bypass surgery (the great folate mystery). Obes Surg 1991; 1: 69-72.
  32. Gasteyger C., Suter M., Calmes J.M. et al. Changes in body composition, metabolic profile, and nutritional status 24 months after gastric banding. Obes Surg 2006; 16: 243-250.
  33. Ke Z.J., DeGiorgio L.A., Volpe B.T., Gibson G.E. Reversal of thiamine deficiency- induced neurodegeneration. J Neuropathol Exp Neurol 2003; 62: 195-207.
  34. Printen K.J., Mason E.E. Gastric bypass for morbid obesity in patients more than fifty years of age. Surg Gynecol Obstet 1977; 144: 192-194.
  35. Ayub A., Faloon W.W., Heinig R.E. Encephalopathyfollowingjejunoileostomy. JAMA 1981; 246: 970-973.
  36. Oczkowski W.J., Kertesz A. Wernicke'sencephalopathy after gastroplasty for morbid obesity. Neurology 1985; 35: 99-101.
  37. Bozbora A., Coskun H., Ozarmagan S. et al. A rare complication of adjustable gastric banding: Wernicke's encephalopathy. Obes Surg 2000; 10: 274-275.
  38. Kramer L.D., Locke E. Wernicke'sencephalopathy: complication of gastric plication. J Clin Gastroenterol 1987; 9: 549-552.
  39. Sola E., Morillas C., Garzon S.A. Rapid onset of Wernicke's encephalopathy following gastric restrictive surgery. Obes Surg 2003; 13: 661-662.
  40. Gollobin C., Marcus W.Y. Bariatric beriberi. Obes Surg 2002; 12: 309-311.
  41. Chaves L.C, Faintuch J., Kahwage S., Alencar Fde A. A cluster of polyneuropathy and Wernicke-Korsakoff syndrome in a bariatric unit. Obes Surg 2002; 12: 328-334.
  42. Koike H., Misu K., Hattori N. Postgastrectomy polyneuropathy with thiamine deficiency. J Neurol Neurosurg Psychiatry 2001; 71: 357-362.
  43. Carrodeguas L., Kaidar-Person O., Szomstein S., Antozzi P. Preoperative thiamin deficiency in obese population undergoing laparoscopic bariatric surgery. Surg Obes Relat Dis 2005; 1: 517-522.
  44. Seehra H., MacDermott N., Lascelles R.G., Taylor T.V. Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity. BMJ 1996; 312 :434.
  45. Wadstrom C., Backman L. Polyneuropathy following gastric banding for obesity. Case report. Acta Chir Scand 1989; 55: 131-134.
  46. Salas-Salvado J., Garcia-Lourda P., Cuatrecasas G. et al. Wernicke's syndrome after bariatric surgery. Clin Nutr 2000;12: 371-373.
  47. Primavera A., Brusa G., Novello P. et al. Wernicke-Korsakoff encephalopathy following biliopancreatic diversion. Obes Surg 1998; 3: 175-177.
  48. Aasheim E.T., Bjorkman S., Sovik L.T. Vitamin status after bariatric surgew: a randomized study of gastric bypass and duodenal switch. Am J Clin Nutr 2009; 90: 15-22.
  49. Lakhani S.V., Shah H.N., Alexander K. et al. Small intestinal bacterial overgrowth and thiamin deficiency after Roux-en-Y gastric bypass surgent in obese patients. Nutr Res 2008; 8: 293-298.
  50. Chang C.G., Adams-Huet B., Provost D.A. Acute postgastric reduction surgery (APGARS) neuropathy. Obes Surg 2004; 14: 182-189.
  51. John S., Hoegeri C. Nutritional deficiencies after gastric bypass surgery. J Am Osteopath Assoc 2009; 109 (11): 601-604.
  52. Khandalavala B.N., Hibma P.P., Fang X. Prevalence and persistence of vitamin D deficiency in biliopancreatic diversion patients: a retrospective study. Obes Surg 2010; 20 (7): 881-884.
  53. Bhan A., Rao A.D., Rao D.S. Osteomalacia as a result of vitamin D deficiency. Endocrinol Metab Clin North Am 2010; 39 (2): 321-331.
  54. Slater G.H., Ren C.J., Seigel N. et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg 2004; 8: 48-55.
  55. Fish E., Beverstein G., Olson D. et al. Vitamin D status of the morbidly obese bariatric surgery patient. J Surg Res 2010; 2: 198-202.
  56. Stein E.M., Strain G., Sinha N. et al. Vitamin D insufficiency prior to bariatric surgery: risk factors and a pilot treatment study. Clin Endocrinol (Oxf) 2009; 71 (2): 176-183.
  57. Vasconcelos R.S., Viégas M., Marques T.F. et al. Factors associated with secondary hyperparathyroidism in premenopausal women undergoing Roux-en-Y gastric bypass for the treatment of obesity. Arq Bras Endocrinol Metabol 2010; 54 (2): 233-238.
  58. Kumar R., Lieske J.C., Collazo-Clavell M.L. et al. Fat malabsorption and increased intestinal oxalate absorption are common after Roux-en-Y gastric bypass surgery. Surgery 2011; 5: 654-661.
  59. Keidar A., Appelbaum L., Schweiger C. et al. Dilated upper sleeve can be associated with severe postoperative gastroesophageal dysmotility and reflux. Obes Surg 2010; 20 (2): 140-147.
  60. Dolan K., Hatzifotis M., Newbury L. et al. A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg 2004; 240: 51-56.
  61. Ledoux S., Msika S., Moussa F. et al. Comparison of nutritional consequences of conventional therapy of obesity, adjustable gastric banding, and gastric bypass. Obes Surg 2006; 16: 1041-1049.
  62. Madan A.K., Orth W.S., Tichansky D.S., Ternovits C.A. Vitamin and trace mineral levels after laparoscopic gastric bypass. Obes Surg 2006; 16: 603-606.
  63. Marceau P., Hould F.S., Simard S. et al. Biliopancreatic diversion with duodenal switch. World J Surg 1998; 22: 947-954.
  64. Clernents R.H., Katasani V.G., Palepu R. et al. Incidence of vitamin deficiency after laparoscopic Roux-en-Y gastric bypass in a university hospital setting. Am Surg 2006; 72: 1196-1204.
  65. Pereira S.E., Sabova C.J., Chaves G.V., Ramalho A. Class Ill obesity and its relationship with the nutritional status of vitamin A in pre- and post- operative gastric bypass. Obes Surg 2009; 19: 738-744.
  66. Kerstyn C., Zalesin K.C., Miller W.M. et al. Vitamin A Deficiency after Gastric Bypass Surgery: An Underreported Postoperative Complication. J Obes 2011, 2011. Pii: 760695. Epub 2010 Sep 14.
  67. Hatizifotis M., Dolan K., Newbury L. et al. Symptomatic vitamin A deficiency following biliopancreatic diversion. Obes Surg 2003; 13: 655-657.
  68. Diniz M de F., Diniz M.T., Sanches S.R. et al. Elevated serum parathormone after Roux-en-Y gastric bypass. Obes Surg 2004; 14: 1222-1226.
  69. Eerdekens A., Debeer A., Van Hoey G. et al. Maternal bariatric surgery: Adverse outcomes in neonates. Eur J Pediatr 2010; 169 (2):191-196.
  70. Cone L.A., Waterbor B.R., Sofonia M.V. Purpura fulminans due to Streptococcus pneumoniae sepsis following gastric bypass. Obes Surg 2004; 14: 690-694.
  71. Van Mieghem T., Van Schoubroeck D., Depiere M. et al. Fetal cerebral hemorrhage caused by vitamin K deficiency after complicated bariatric surgery. Obstet Gynecol 2008; 112 (2 pt 2): 434-436.
  72. Trostler N., Mann A., Zilberbush N. et al. Nutrient intake following vertical banded gastroplasty or gastric bypass. Obes Surg 1995; 5: 403-410.
  73. Skroubis G., Sakellarapoulos G., Pouggouras K. Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and biliopan-creatic diversion with Roux-en-Y gastric bypass. Obes Surg 2002; 12: 551-558.
  74. Brolin R.E., Gorman R.C., Milgrim L.M., Kenler H.A. Multivitamin prophylaxis in prevention of post-gastric bypass vitamin and mineral deficiencies. Int J Obes 1991; 15 :661-667.
  75. Sallé A., Demarsy D., Poirier A.L. et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg 2010; 20 (12): 1660-1670.
  76. Lovette A.S., Shope T.R., Koch T.R. Origins for Micronutrient Deficiencies. Доступно на: http://www.intechopen.com/books/advanced-bariatric-and-metabolic-surgery/origins-for-micronutrient-deficiencies
  77. Neve H.J., Bhatti W.A., Soulsby C. et al. Reversal of hair loss following vertical gastroplasty when treated with zinc sulphate. Obes Surg 1996; 6: 63-65.
  78. Burge J. Changes in patients' taste acuity after Roux-en-Y gastric bypass for clinically severe obesity. J Am Diet Assoc 1995; 95: 666-670.
  79. Davies D.J., Baxter J.M., Baxter J.N. Nutritional deficiencies after bariatric surgery. Obes Surg 2007; 17: 1150-1158.
  80. Zimnicka A.M., Ivy K., Kaplan J.H. Acquisition of dietary copper: a role for anion transporters in intestinal apical copper uptake. Am J Physiol Cell Physiol 2011; 300 (3): 58.
  81. Kumar N., McEvoy K.M., Ahiskog J.E. Myelopathy due to copper deficiency following gastrointestinal surgery. Arch Neurol 2003; 60: 1782-1785.
  82. Todd L.M., Godber I.M., Gunn I.R. Iatrogenic copper deficiency causing anaemia and neutropenia. Ann Clin Biochem 2004; 41: 414-416.
  83. Naismith R.T., Shepherd J.B., Weihl C.C. et al. Acute and bilateral blindness due to optic neuropathy associated with copper deficiency. Arch Neurol 2009; 66 (8): 1025-1027.

Дополнительные файлы

Доп. файлы
Действие
1. JATS XML
Скачать

© ООО "Консилиум Медикум", 2013

Creative Commons License
Эта статья доступна по лицензии Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Адрес издателя

  • 127055, г. Москва, Алабяна ул., 13, корп.1

Адрес редакции

  • 127055, г. Москва, Алабяна ул., 13, корп.1

По вопросам публикаций

  • +7 (926) 905-41-26
  • editor@ter-arkhiv.ru

По вопросам рекламы

  • +7 (495) 098-03-59

 

  


Данный сайт использует cookie-файлы

Продолжая использовать наш сайт, вы даете согласие на обработку файлов cookie, которые обеспечивают правильную работу сайта.

О куки-файлах