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Malabsorption Syndrome in Postoperative Gastric Bypass Patients

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Mal-Absorption Syndrome in Post Operative Gastric Bypass Patients Mal-absorption There seem to be an increasing application of Roen-en-Y gastric bypass today by some surgeons. This is a restrictive procedure that has minimal mal-absorption issues and it makes part of an array of bariatric surgeries. However, the most commonly used procedure is biliopancreatic diversion or Scopinaro, which have been used for more than two decades and are popular in with many surgeons more so in the developing countries. This process is intended to inhibit absorption of fat in a bid to trigger massive weight loss in patients who are morbidly obese. It restricts gastric thereby diverting bile and pancreatic fluids to the distal ileum (Consensus Development Conference Panel, 1991). This procedure therefore exposes a limited area of small bowel for the absorption of nutrients that need biliary and pancreatic fluids. The procedure and its variations are still common as indicated above including; biliopancreatic diversion with duodenal switch, which also result in malabsorption. It is however noted that most patients who undergo this procedure also experience severe protein and fat related malabsorption problems. Protein deficiency following gastric bypass is caused by patients' limited stomach size as well as intolerance to meat and related products. According to Stamm (2011), protein supplementation is critical however unclear their effects on the metabolic and hormonal changes resulting

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