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Nutritional Follow Up after Bariatric Surgery and Medical Adjuvant Therapy

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Obesity".

Deadline for manuscript submissions: closed (15 March 2024) | Viewed by 2759

Special Issue Editors


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Guest Editor
Service de Chirurgie Digestive A, Hôpital Saint Eloi, CHU de Montpellier, 34295 Montpellier, France
Interests: bariatric surgery; Nissen sleeve gastrectomy

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Guest Editor
1. Department of General Surgery, Clinique Bouchard, ELSAN, 13006 Marseille, France
2. Department of General Surgery, Centre Chirurgical de l'Obesite, ELSAN, Clinique Saint Michel, Avenue de l'Orient, 83100 Toulon, France
Interests: bariatric surgery; metabolic surgery; gastroesophageal reflux disease
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Special Issue Information

Dear Colleagues,

With an increasing number of bariatric procedures performed worldwide, the significant issue of weight regain is becoming more prevalent, and long term follow up represents a major issue that revisional bariatric surgery will need to address in the upcoming years. In the literature, there is a paucity of long-term data following bariatric surgery concerning nutritional status and different deficiencies. The purpose of this Special Issue will be to evaluate different clinical series regarding the long-term weight outcomes after different bariatric surgeries. It will be equally important to analyse the patient perspectives on post-bariatric surgery nutritional supplementation, the clinical effect of different deficiencies, and also the role of new adjuvant therapy.

We are convinced that the manuscripts included in the current Special Issue will encourage  various centres to report their experiences.

Prof. Dr. David Nocca
Dr. Marius Nedelcu
Guest Editors

Manuscript Submission Information

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Keywords

  • bariatric surgery
  • vitamin deficiencies
  • long term results
  • sleeve gastrectomy
  • gastric bypass

Published Papers (2 papers)

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Research

18 pages, 2071 KiB  
Article
Analysis of the Efficacy of Diet and Short-Term Probiotic Intervention on Depressive Symptoms in Patients after Bariatric Surgery: A Randomized Double-Blind Placebo Controlled Pilot Study
by Natalia Komorniak, Mariusz Kaczmarczyk, Igor Łoniewski, Alexandra Martynova-Van Kley, Armen Nalian, Michał Wroński, Krzysztof Kaseja, Bartosz Kowalewski, Marcin Folwarski and Ewa Stachowska
Nutrients 2023, 15(23), 4905; https://doi.org/10.3390/nu15234905 - 24 Nov 2023
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Abstract
(1) Background: studies have shown that some patients experience mental deterioration after bariatric surgery. (2) Methods: We examined whether the use of probiotics and improved eating habits can improve the mental health of people who suffered from mood disorders after bariatric surgery. We [...] Read more.
(1) Background: studies have shown that some patients experience mental deterioration after bariatric surgery. (2) Methods: We examined whether the use of probiotics and improved eating habits can improve the mental health of people who suffered from mood disorders after bariatric surgery. We also analyzed patients’ mental states, eating habits and microbiota. (3) Results: Depressive symptoms were observed in 45% of 200 bariatric patients. After 5 weeks, we noted an improvement in patients’ mental functioning (reduction in BDI and HRSD), but it was not related to the probiotic used. The consumption of vegetables and whole grain cereals increased (DQI-I adequacy), the consumption of simple sugars and SFA decreased (moderation DQI-I), and the consumption of monounsaturated fatty acids increased it. In the feces of patients after RYGB, there was a significantly higher abundance of two members of the Muribaculaceae family, namely Veillonella and Roseburia, while those after SG had more Christensenellaceae R-7 group, Subdoligranulum, Oscillibacter, and UCG-005. (4) Conclusions: the noted differences in the composition of the gut microbiota (RYGB vs. SG) may be one of the determinants of the proper functioning of the gut–brain microbiota axis, although there is currently a need for further research into this topic using a larger group of patients and different probiotic doses. Full article
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17 pages, 1601 KiB  
Article
Effect of Nutritional Deprivation after Sleeve Gastrectomy on Bone Mass, Periostin, Sclerostin and Semaphorin 4D: A Two-Year Longitudinal Study
by Laurent Maïmoun, Safa Aouinti, Marion Puech, Patrick Lefebvre, Mélanie Deloze, Pascal de Santa Barbara, Jean-Paul Cristol, Séverine Brabant, Thomas Gautier, Marius Nedelcu, Eric Renard, Marie-Christine Picot, Denis Mariano-Goulart and David Nocca
Nutrients 2023, 15(20), 4310; https://doi.org/10.3390/nu15204310 - 10 Oct 2023
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Abstract
Bariatric surgery induces bone loss, but the exact mechanisms by which this process occurs are not fully known. The aims of this 2-year longitudinal study were to (i) investigate the changes in areal bone mineral density (aBMD) and bone turnover markers following sleeve [...] Read more.
Bariatric surgery induces bone loss, but the exact mechanisms by which this process occurs are not fully known. The aims of this 2-year longitudinal study were to (i) investigate the changes in areal bone mineral density (aBMD) and bone turnover markers following sleeve gastrectomy (SG) and (ii) determine the parameters associated with the aBMD variations. Bone turnover markers, sclerostin, periostin and semaphorin 4D were assessed before and 1, 12 and 24 months after SG, and aBMD was determined by DXA at baseline and after 12 and 24 months in 83 patients with obesity. Bone turnover increased from 1 month, peaked at 12 months and remained elevated at 24 months. Periostin and sclerostin presented only modest increases at 1 month, whereas semaphorin 4D showed increases only at 12 and 24 months. A significant aBMD decrease was observed only at total hip regions at 12 and 24 months. This demineralisation was mainly related to body weight loss. In summary, reduced aBMD was observed after SG in the hip region (mechanical-loading bone sites) due to an increase in bone turnover in favour of bone resorption. Periostin, sclerostin and semaphorin 4D levels varied after SG, showing different time lags, but contrary to weight loss, these biological parameters did not seem to be directly implicated in the skeletal deterioration. Full article
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