Treatment of excessive weight loss after bariatric surgery – case report

Piotr Rękawek, Jarosław Lichota, Jan Pawlus, Tadeusz Sulikowski


Bariatric surgeries help overcome severe obesity and its complications. Due the increase in numbers of obese patients, these procedures are gaining in popularity. In this article we report the case of patient operated on twice for obesity, whose treatment was complicated by excessive weight loss.


obesity; malnutrition; bariatric surgery

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Ruban A, Stoenchev K, Ashrafian H, Teare J. Current treatments for obesity. Clin Med (Lond) 2019;19(3):205-12. doi: 10.7861/clinmedicine.19-3-205.

World Health Organization. Obesity and overweight. en/news-room/fact-sheets/detail/obesity-and-overweight (18.06.2021).

American Society for Metabolic and Bariatric Surgery. Estimate of bariatric surgery num-bers, 2011–2019. bariatric-surgery-numbers (18.06.2021).

Kassir R, Debs T, Blanc P, Gugenheim J, Ben Amor I, Boutet C, et al. Complications of bariatric surgery: presentation and emergency management. Int J Surg 2016;27:77-81. doi: 10.1016/j.ijsu.2016.01.067.

Schulman AR, Thompson CC. Complications of bariatric surgery: what you can expect to see in your GI practice. Am J Gastroenterol 2017;112(11):1640-55. doi: 10.1038/ajg.2017.241.

Switzer NJ, Karmali S, Gill RS, Sherman V. Revisional bariatric surgery. Surg Clin North Am 2016;96(4):827-42. doi: 10.1016/j.suc.2016.03.004.

Rutledge R, Kular K, Manchanda N. The mini-gastric bypass original technique. Int J Surg 2019;61:38-41. doi: 10.1016/j.ijsu.2018.10.042.

Jammu GS. Comparison of results of mini-gastric bypass to sleeve gastrectomy and Roux-en-Y gastric bypass. Technique of conversion of failed sleeve gastrectomy to MGB. In: Deitel M, editor. Essentials of mini-one anastomosis gastric bypass. Cham: Springer; 2018. doi: 10.1007/978-3- 319-76177-0_23.

Bal BS, Finelli FC, Shope TR, Koch TR. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol 2012;8(9):544-56. doi: 10.1038/ nrendo.2012.48.

Ziegler O, Sirveaux MA, Brunaud L, Reibel N, Quilliot D. Medical follow up after bariatric surgery: nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies. Diabetes Metab 2009;35(6 Pt 2):544-57. doi: 10.1016/S1262-3636(09)73464-0.

Poitou Bernert C, Ciangura C, Coupaye M, Czernichow S, Bouillot JL, Basdevant A. Nu-tritional deficiency after gastric bypass: diagnosis, prevention and treatment. Diabetes Metab 2007;33(1):13-24. doi: 10.1016/j. diabet.2006.11.004.

Genser L, Soprani A, Tabbara M, Siksik JM, Cady J, Carandina S. Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition. Langenbecks Arch Surg 2017;402(8):1263-70. doi: 10.1007/s00423-017-1615-4.


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