Abstract
Background: Bariatric surgery in particular malabsorptive procedures with the rapid weight loss, and anatomical changes in the gastrointestinal tract of patients leads to sever nutritional and metabolic complications .This work is aiming to avoid the nutritional and trace elements deficiency post bariatric malabsorptive procedures.
Aim of the work is to avoid vitamins and trace elements deficiency that commonly follow malabsorptve procedures and needs strict follow up for long times.
Methods: The effect of our new procedure on different nutritional elements deficiency were evaluated from February 1999 to May 2005. They were 156 patients (122 females & 34 males) with mean age of 39.7 ? 9.2 and body mass index (BMI) 56 ? 22.1 and followed for six years till June 2011. For all patients excess weight loss, calcium, albumin, hemoglobin, iron, zinc, vitamin B12, and prothrombin concentration were done preoperatively three, six months and every year thereafter for six years.
Results: Significant excess weight loss and decrease in all parameters except prothrombin in the first three , six months followed by significant increase by the end of the first year. Then a stationary improved course of all parameters all over the study period of six years.
Conclusion: Our new procedure represents a good digestive and selective absorptive operation for nearly all micronutrients and vitamins in addition to excellent excess weight loss (EWL).
Keywords: Morbid, Obese, new procedure, micronutrients, vitamins, good digestion, selective absorption.