Laparosc Endosc Surg Sci . 2019; 26(4): 199-201 | DOI: 10.14744/less.2019.82698

Quadriparesis after bariatric surgery: Case report

Cem Dönmez¹, Ezgi Dönmez², Sercan Subasi^1
1Department of General Surgery, Muðla Sýtký Koçman University Faculty of Medicine, Muðla, Turkey
²Department of Anesthesiology and Reanimation, Yatagan Public Hospital, Muðla, Turkey

Obesity is one of the most significant public health concerns of the 21st century. The number of surgeries performed due to obesity continues to increase. Laparoscopic sleeve gastrectomy is the most commonly performed laparoscopic bariatric surgery and nutritional deficiencies after bariatric surgery are common. In weight-loss surgery patients with a nutritional deficiency, it should be kept in mind that the patient may have multiple vitamin deficiencies. Lifetime nutritional status follow-up is necessary. An appropriately detailed preoperative evaluation and postoperative care, as well as patient education, are essential to follow-up. There are guidelines available that recommend routine nutritional supplementation for the treatment and prevention of deficiencies. The aim of this manuscript was to describe the clinical impact of the current evidence.

Keywords: Bariatric surgery, laparoscopic sleeve gastrectomy; nutritional deficiency; obesity.

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Bariatrik cerrahi sonrasý kuadriparezi: Olgu sunumu

Cem Dönmez¹, Ezgi Dönmez², Sercan Subasi^1
1Sýtký Koçman Üniversitesi, Genel Cerrahi Anabilim Dalý, Muðla, Türkiye
²Yataðan Devlet Hastanesi, Anestezi ve Reanimasyon Bölümü, Muðla, Türkiye

Obezite, 21. yüzyýlýn en önemli halk saðlýðý sorunlarýndan biridir. Obezite nedeniyle ameliyat olanlarýn sayýsý gün geçtikçe artmaktadýr. Laparoskopik sleeve gastrektomi en sýk uygulanan laparoskopik bariatrik cerrahidir ve bariatrik cerrahi sonrasý beslenme yetersizlikleri yaygýndýr. Obezite cerrahisinde beslenme yetersizliði olan hastalarda hastanýn birden fazla vitamin eksikliði olabileceði akýlda tutulmalýdýr. Ömür boyu beslenme durumu takibi gereklidir. Tüm preoperatif deðerlendirme ve postoperatif bakýmda, hasta eðitimi takiplerini sürdürmek için esastýr. Eksikliklerin tedavisi ve önlenmesi için rutin besin takviyesi öneren rehberler vardýr. Bu yazý, bariatrik cerrahilerin klinik etki ile ilgili güncel kanýtlarýný tanýmlamayý amaçlamaktadýr.

Anahtar Kelimeler: Bariatrik cerrahi, laparoskopik sleeve gastrektomi, beslenme yetersizliði, obezite

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