title: Need for Intensive Nutrition Care After Bariatric Surgery.
abstract: Severe nutrition complications after bariatric surgery remain poorly described. The aim of this case series was to identify specific factors associated with nutrition complications after bariatric surgery and to characterize their nutrition disorders. We retrospectively reviewed all people referred to the clinical nutrition intensive care unit of our university hospital after bariatric surgery from January 2013 to June 2015. Twelve persons who required artificial nutrition supplies (ie, enteral nutrition or parenteral nutrition) were identified. Seven persons underwent a "one-anastomosis gastric bypass" (OAGB) or "mini gastric bypass," 2 underwent a Roux-en-Y gastric bypass, 2 had a sleeve gastrectomy, and 1 had an adjustable gastric band. This case series suggests that OAGB could overexpose subjects to severe nutrition complications requiring intensive nutrition care and therefore cannot be considered a "mini" bariatric surgery. Even if OAGB is often considered a simplified surgical technique, it obviously requires as the other standard bariatric procedures a close follow-up by experimented teams aware of its specific complications.
authors.affiliation: 1 Department of Endocrinology, Diabetes and Nutrition, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre Bénite, France.|2 Université Claude Bernard Lyon 1, Lyon, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Bétry
authors.affiliation: 1 Department of Endocrinology, Diabetes and Nutrition, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre Bénite, France.|2 Université Claude Bernard Lyon 1, Lyon, France.|3 Centre Intégré et Spécialisé de l'Obésité de Lyon, Groupement Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Disse
authors.affiliation: 4 Nutrition Intensive Care Unit, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Chambrier
authors.affiliation: 4 Nutrition Intensive Care Unit, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.
authors.forename: Didier
authors.initials: D
authors.lastname: Barnoud
authors.affiliation: 4 Nutrition Intensive Care Unit, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Gelas
authors.affiliation: 4 Nutrition Intensive Care Unit, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Baubet
authors.affiliation: 1 Department of Endocrinology, Diabetes and Nutrition, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre Bénite, France.|2 Université Claude Bernard Lyon 1, Lyon, France.|3 Centre Intégré et Spécialisé de l'Obésité de Lyon, Groupement Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Laville
authors.affiliation: 2 Université Claude Bernard Lyon 1, Lyon, France.|3 Centre Intégré et Spécialisé de l'Obésité de Lyon, Groupement Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.|5 Department of Digestive and Bariatric Surgery, Hôpital Universitaire Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
authors.forename: Elise
authors.initials: E
authors.lastname: Pelascini
authors.affiliation: 2 Université Claude Bernard Lyon 1, Lyon, France.|3 Centre Intégré et Spécialisé de l'Obésité de Lyon, Groupement Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.|5 Department of Digestive and Bariatric Surgery, Hôpital Universitaire Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
authors.forename: Maud
authors.initials: M
authors.lastname: Robert
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects*; D003422:Critical Care / Q000379:methods*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009748:Nutrition Disorders / Q000209:etiology / Q000628:therapy*; D044623:Nutrition Therapy / Q000379:methods*; D009752:Nutritional Status; D009765:Obesity / Q000601:surgery; D011182:Postoperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy; D012189:Retrospective Studies; D015431:Weight Loss
keywords: Gayet-Wernicke encephalopathy; bariatric surgery; one anastomosis gastric bypass