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Nutrición Hospitalaria
versão On-line ISSN 1699-5198versão impressa ISSN 0212-1611
Resumo
TENORIO JIMENEZ, Carmen et al. Bariatric surgery in inflammatory bowel disease: case report and review of the literature. Nutr. Hosp. [online]. 2013, vol.28, n.3, pp.958-960. ISSN 1699-5198. https://dx.doi.org/10.3305/nh.2013.28.3.6408.
Inflammatory bowel disease (IBD) is rarely associated with obesity, as malabsorption is a common feature of these diseases (1). However, some patients may experience morbid obesity and associated complications refractory to dietary treatment and benefit from bariatric surgery. It has even been postulated that surgery may result in improvement of IBD by reducing inflammatory markers (2). However, patients may experience a higher incidence of complications following surgery in the context of immunosuppressive therapy and prior malabsorption. Therefore, if surgery is performed, careful patient selection and individualization of technique are essential. We present a patient diagnosed with ulcerative colitis who presented severe protein malnutrition after bariatric surgery type bilio-pancreatic diversion and review the available literature.
Palavras-chave : Bariatric surgery; Morbid obesity; Inflammatory bowel disease; Hypoproteinemia; Malnutrition.