Skip to main content
SpringerLink
Log in

Surgical and Medical Follow-Up

  • Chapter
  • First Online:
The Perfect Sleeve Gastrectomy

  • 683 Accesses

Abstract

Sleeve gastrectomy (SG) has become the most popular bariatric operation worldwide with the supposed idea of a less complex operation with an unaltered intestinal tract and fewer expected nutritional deficiencies. SG requires supplementation in all cases. There is no universal supplementation, and every case should be analyzed. The main focus is the prevention and treatment of anemia, vitamin B1 deficiency, and protein supplementation. Patients must be aware of the costs and future expenses with supplementation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Welbourn R, Hollyman M, Kinsman R, et al. Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the fourth IFSO global registry report. Obes Surg. 2018;28:313.

    Article  PubMed  Google Scholar 

  2. Lim R, Blackburn G, Jones D. Benchmarking best practices in weight loss surgery. Curr Probl Surg. 2010;47:79–174.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Marceau P, Biron S, Bourque RA, et al. Biliopancreatic diversion with a new type of gastrectomy. Obes Surg. 1993;3:29–35.

    Article  CAS  PubMed  Google Scholar 

  4. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10:514–23.

    Article  CAS  PubMed  Google Scholar 

  5. Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-staged laparoscopic Roux-en-y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4.

    Article  CAS  Google Scholar 

  6. Moon Han SM, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy at 1 year in morbidly obese Korean patients. Obes Surg. 2015;15:1469–75.

    Article  Google Scholar 

  7. Silecchia G, Boru C, Pecchia A, et al. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obes Surg. 2006;16(9):1138–44.

    Article  PubMed  Google Scholar 

  8. Jahansouz C, Staley C, Bernlohr DA, et al. Sleeve gastrectomy drives persistent shifts in the gut microbiome. Surg Obes Relat Dis. 2017;13(6):916–24.

    Article  PubMed  Google Scholar 

  9. Dimitriadis GK, Randeva MS, Miras AD. Potential hormone mechanisms of bariatric surgery. Curr Obes Rep. 2017;6(3):253–65.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Rogers C. Postgastrectomy nutrition. Nutr Clin Pract. 2011;26(2):126–36.

    Article  PubMed  Google Scholar 

  11. Parrott J, Frank L, Rabena R, et al. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis. 2017;13(5):727–41.

    Article  PubMed  Google Scholar 

  12. Lin XH, Huang KH, Chuang WH, et al. The long term effect of metabolic profile and microbiota status in early gastric cancer patients after subtotal gastrectomy. PLoS One. 2018;13(11):e0206930.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  13. Sioka E, Tzovaras G, Perivoliotis K, et al. Impact of laparoscopic sleeve gastrectomy on gastrointestinal motility. Gastroenterol Res Pract. 2018:4135813.

    Google Scholar 

  14. Stein J, Stier C, Raab H, Weiner R. The nutritional and pharmacological consequences of obesity surgery. Aliment Pharmacol Ther. 2014;40(6):582–609.

    Article  CAS  PubMed  Google Scholar 

  15. Hill NE, Murphy KG, Saeed S, et al. Impact of ghrelin on body composition and muscle function in a long-term rodent model of critical illness. PLoS One. 2017;12(8):e0182659.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  16. Thibault R, Makhlouf AM, Mulliez A, et al. Fat-free mass at admission predicts 28-day mortality in intensive care unit patients: the international prospective observational study phase angle project. Intensive Care Med. 2016;42(9):1445–53.

    Article  PubMed  Google Scholar 

  17. Guida B, Cataldi M, Busetto L, et al. Predictors of fat-free mass loss 1 year after laparoscopic sleeve gastrectomy. J Endocrinol Investig. 2018;41(11):1307–15.

    Article  CAS  Google Scholar 

  18. Voican CS, Lebrun A, Maitre S, et al. Predictive score of sarcopenia occurrence one year after bariatric surgery in severely obese patients. PLoS One. 2018;13(5):e0197248.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  19. Abdou E, Hazell AS. Thiamine deficiency: an update of pathophysiologic mechanisms and future therapeutic considerations. Neurochem Res. 2015;40(2):353–61.

    Article  CAS  PubMed  Google Scholar 

  20. Matrana MR, Vasireddy S, Davis WE. The skinny on a growing problem: dry beriberi after bariatric surgery. Ann Intern Med. 2008;149(11):842–4.

    Article  PubMed  Google Scholar 

  21. Kerns JC, Arundel C, Chawla LS. Thiamin deficiency in people with obesity. Adv Nutr. 2015;6(2):147–53.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Hoyumpa AM Jr, Strickland R, Sheehan JJ, et al. Dual system of intestinal thiamine transport in humans. J Lab Clin Med. 1982;99(5):701–8.

    CAS  PubMed  Google Scholar 

  23. Warnock LG, Prudhomme CR, Wagner C. The determination of thiamin pyrophosphate in blood and other tissues, and its correlation with erythrocyte transketolase activity. J Nutr. 1978;108(3):421–7.

    Article  CAS  PubMed  Google Scholar 

  24. Pardo-Aranda F, Perez-Romero N, Osorio J, et al. Wernicke’s encephalopathy after sleeve gastrectomy: literature review. Int J Surg Case Rep. 2016;20:92–5.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Tang L, Alsulaim HA, Canner JK, et al. Prevalence and predictors of postoperative thiamine deficiency after vertical sleeve gastrectomy. Surg Obes Relat Dis. 2018;14(7):943–50.

    Article  PubMed  Google Scholar 

  26. Navarro D, Zwingmann C, Chatauret N, Butterworth RF. Glucose loading precipitates focal lactic acidosis in the vulnerable medial thalamus of thiamine-deficient rats. Metab Brain Dis. 2008;23(1):115–22.

    Article  CAS  PubMed  Google Scholar 

  27. Wijnia JW, Oudman E, Bresser EL, et al. Need for early diagnosis of mental and mobility changes in Wernicke encephalopathy. Cogn Behav Neurol. 2014;27(4):215–21.

    Article  PubMed  Google Scholar 

  28. Nishimoto A, Usery J, Winton JC, Twilla J. High-dose parenteral thiamine in treatment of Wernicke’s encephalopathy: case series and review of the literature. In Vivo. 2017;31(1):121–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Chan CQ, Low LL, Lee KH. Oral vitamin B12 replacement for the treatment of pernicious anemia. Front Med (Lausanne). 2016;3:38.

    Google Scholar 

  30. Nexo E, Hoffmann-Lücke E. Holotranscobalamin, a marker of vitamin B-12 status: analytical aspects and clinical utility. Am J Clin Nutr. 2011;94(1):359S–65S.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Muhuri D, Nagy G, Rawlins V, et al. Exploring vitamin B12 deficiency in sleeve gastrectomy from a histological study of a cadaveric stomach and ileum. J Nutr Disorders Ther. 2016;6:193.

    Article  Google Scholar 

  32. Punchai S, Hanipah ZN, Meister KM, et al. Neurologic manifestations of vitamin B deficiency after bariatric surgery. Obes Surg. 2017;27(8):2079–82.

    Article  PubMed  Google Scholar 

  33. Cappellini MD, Motta I. Anemia in clinical practice-definition and classification: does hemoglobin change with aging? Semin Hematol. 2015;52(4):261–9.

    Article  PubMed  Google Scholar 

  34. Jáuregui-Lobera I. Iron deficiency and bariatric surgery. Nutrients. 2013;5(5):1595–608.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  35. Cepeda-Lopez AC, Allende-Labastida J, Melse-Boonstra A, et al. The effects of fat loss after bariatric surgery on inflammation, serum hepcidin, and iron absorption: a prospective 6-mo iron stable isotope study. Am J Clin Nutr. 2016;104(4):1030–8.

    Article  CAS  PubMed  Google Scholar 

  36. Alam F, Memon AS, Fatima SS. Increased body mass index may lead to Hyperferritinemia irrespective of body Iron stores. Pak J Med Sci. 2015;31(6):1521–6.

    PubMed  PubMed Central  Google Scholar 

  37. Kwon Y, Kim HJ, Lo Menzo E, et al. Anemia, iron and vitamin B12 deficiencies after sleeve gastrectomy compared to Roux-en-Y gastric bypass: a meta-analysis. Surg Obes Relat Dis. 2014;10(4):589–97.

    Article  PubMed  Google Scholar 

  38. Ruz M, Carrasco F, Rojas P, et al. Heme- and nonheme-iron absorption and iron status 12 mo after sleeve gastrectomy and Roux-en-Y gastric bypass in morbidly obese women. Am J Clin Nutr. 2012;96(4):810–7.

    Article  CAS  PubMed  Google Scholar 

  39. Steenackers N, Van der Schueren B, Mertens A, et al. Iron deficiency after bariatric surgery: what is the real problem? Proc Nutr Soc. 2018;77(4):445–55.

    Article  PubMed  Google Scholar 

  40. El-Kadre LJ, Rocha PR, de Almeida Tinoco AC, Tinoco RC. Calcium metabolism in pre- and postmenopausal morbidly obese women at baseline and after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2004;14(8):1062–6.

    Article  PubMed  Google Scholar 

  41. Shapses SA, Sukumar D. Bone metabolism in obesity and weight loss. Annu Rev Nutr. 2012;32:287–309.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Gagnon C, Schafer AL. Bone health after bariatric surgery. JBMR Plus. 2018;2:121–33.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Walsh JS, Bowles S, Evans AL. Vitamin D in obesity. Curr Opin Endocrinol Diabetes Obes. 2017;24(6):389–94.

    Article  CAS  PubMed  Google Scholar 

  44. Moore CE, Sherman V. Vitamin D supplementation efficacy: sleeve gastrectomy versus gastric bypass surgery. Obes Surg. 2014;24(12):2055–60.

    Article  PubMed  Google Scholar 

  45. Alexandrou A, Tsoka E, Armeni E, et al. Determinants of secondary hyperparathyroidism in bariatric patients after Roux-en-Y gastric bypass or sleeve gastrectomy: a pilot study. Int J Endocrinol. 2015:984935.

    Google Scholar 

  46. Faria SL, Faria OP, Buffington C, et al. Dietary protein intake and bariatric surgery patients: a review. Obes Surg. 2011;21(11):1798–805.

    Article  PubMed  Google Scholar 

  47. Dulloo AG, Jacquet J, Miles-Chan JL, Schutz Y. Passive and active roles of fat-free mass in the control of energy intake and body composition regulation. Eur J Clin Nutr. 2017;71(3):353–7.

    Article  CAS  PubMed  Google Scholar 

  48. Friedrich AE, Damms-Machado A, Meile T, et al. Laparoscopic sleeve gastrectomy compared to a multidisciplinary weight loss program for obesity--effects on body composition and protein status. Obes Surg. 2013;23(12):1957–65.

    Article  PubMed  Google Scholar 

  49. Davidson LE, Yu W, Goodpaster BH, et al. Fat-free mass and skeletal muscle mass five years after bariatric surgery. Obesity (Silver Spring). 2018;26(7):1130–6.

    Article  Google Scholar 

  50. Moizé V, Andreu A, Flores L, et al. Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or Roux-En-Y gastric bypass in a mediterranean population. J Acad Nutr Diet. 2013;113(3):400–10.

    Article  PubMed  Google Scholar 

  51. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient–2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract. 2013;19(2):337–72.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Lee JL, Oh ES, Lee RW, Finucane TE. Serum albumin and Prealbumin in calorically restricted, nondiseased individuals: a systematic review. Am J Med. 2015;128(9):1023.e1–1023.e22.

    Article  CAS  Google Scholar 

  53. Sallé A, Demarsy D, Poirier AL, et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg. 2010;20(12):1660–70.

    Article  PubMed  Google Scholar 

  54. Snow CF. Laboratory diagnosis of vitamin B12 and folate deficiency: a guide for the primary care physician. Arch Intern Med. 1999;159(12):1289–98.

    Article  CAS  PubMed  Google Scholar 

  55. Borgstrom B, Dahlovist A, Lundh G, Sjovall J. Studies of intestinal digestion and absorption in the human. J Clin Invest. 1957;36:1521.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Rino Y, Oshima T, Yoshikawa T. Changes in fat-soluble vitamin levels after gastrectomy for gastric cancer. Surg Today. 2017;47(2):145–50.

    Article  CAS  PubMed  Google Scholar 

  57. Prodan CI, Bottomley SS, Vincent AS, et al. Copper deficiency after gastric surgery: a reason for caution. Am J Med Sci. 2009;337(4):256–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gávea Metabolic Center for Diabetes and Obesity, Sao Lucas Copacabana Hospital, Rio de Janeiro, RJ, Brazil

    Luciana J. El-Kadre

  2. Brasília Gastrosurgery, Brasília, DF, Brazil

    Silvia Leite Faria

  3. Bariatric Surgery, Gastro Obeso Center, São Paulo, Brazil

    Almino Ramos Cardoso

Authors
  1. Luciana J. El-Kadre
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Silvia Leite Faria
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Almino Ramos Cardoso
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Sacré-Coeur Hospital, Montréal, QC, Canada

    Michel Gagner

  2. Bariatric Surgery, Gastro Obeso Center, Sao Paulo, Brazil

    Almino Ramos Cardoso

  3. Diagnomed, University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  4. Emirates Specialty Hospital, Dubai, United Arab Emirates

    Patrick Noel

  5. CHU Montpellier, Saint Gely du Fesc, France

    David Nocca

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

El-Kadre, L.J., Faria, S.L., Cardoso, A.R. (2020). Surgical and Medical Follow-Up. In: Gagner, M., Cardoso, A., Palermo, M., Noel, P., Nocca, D. (eds) The Perfect Sleeve Gastrectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-28936-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28936-2_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28935-5

  • Online ISBN: 978-3-030-28936-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation