Skip to main content
Erschienen in: Obesity Surgery 1/2015

01.01.2015 | Review Article

Ophthalmic Complications of Bariatric Surgery

verfasst von: Rui Azevedo Guerreiro, Rui Ribeiro

Erschienen in: Obesity Surgery | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

Obesity is increasing vastly in the world, and the number of bariatric surgeries being performed is also increasing. Patients being submitted to bariatric surgeries, especially malabsorptive procedures, have an increased risk of developing nutrient deficiencies, which can culminate in symptomatic hypovitaminosis, if supplementation is not done correctly. The eye and the optic system need an adequate level of several vitamins and minerals to perform properly, especially vitamin A, and this article wants to cover the main nutrients involved, the possible ophthalmic complications that can arise by their deficiency, and the management of those complications.
Literatur
1.
Zurück zum Zitat Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.PubMedCrossRef Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.PubMedCrossRef
2.
Zurück zum Zitat Sawaya RA, Jaffe J, Friedenberg L, et al. Vitamin, mineral, and drug absorption following bariatric surgery. Curr Drug Metab. 2012;13(9):1345–55.PubMedCentralPubMedCrossRef Sawaya RA, Jaffe J, Friedenberg L, et al. Vitamin, mineral, and drug absorption following bariatric surgery. Curr Drug Metab. 2012;13(9):1345–55.PubMedCentralPubMedCrossRef
3.
Zurück zum Zitat Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934.PubMedCentralPubMedCrossRef Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Schweiger C, Keidar A. Nutritional deficiencies in bariatric surgery patients: prevention, diagnosis and treatment. Harefuah. 2010;149(11):715–20, 48 Schweiger C, Keidar A. Nutritional deficiencies in bariatric surgery patients: prevention, diagnosis and treatment. Harefuah. 2010;149(11):715–20, 48
6.
7.
Zurück zum Zitat Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26(11–12):1031–7.PubMedCrossRef Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26(11–12):1031–7.PubMedCrossRef
8.
Zurück zum Zitat Parrish CR. Severe micronutrient deficiencies in RYGB patients: rare but potentially devastating. Pract Gastroenterol. 2011;100:13–27. Parrish CR. Severe micronutrient deficiencies in RYGB patients: rare but potentially devastating. Pract Gastroenterol. 2011;100:13–27.
9.
Zurück zum Zitat Rino Y, Yukawa N, Sato T, et al. Vitamin E deficiency begins within 6 months after gastrectomy for gastric cancer. World J Surg. 2014. Rino Y, Yukawa N, Sato T, et al. Vitamin E deficiency begins within 6 months after gastrectomy for gastric cancer. World J Surg. 2014.
10.
Zurück zum Zitat Naismith RT, Shepherd JB, Weihl CC, et al. Acute and bilateral blindness due to optic neuropathy associated with copper deficiency. Arch Neurol. 2009;66(8):1025–7.PubMedCentralPubMed Naismith RT, Shepherd JB, Weihl CC, et al. Acute and bilateral blindness due to optic neuropathy associated with copper deficiency. Arch Neurol. 2009;66(8):1025–7.PubMedCentralPubMed
11.
Zurück zum Zitat Pineles SL, Wilson CA, Balcer LJ, et al. Combined optic neuropathy and myelopathy secondary to copper deficiency. Surv Ophthalmol. 2010;55(4):386–92.PubMedCrossRef Pineles SL, Wilson CA, Balcer LJ, et al. Combined optic neuropathy and myelopathy secondary to copper deficiency. Surv Ophthalmol. 2010;55(4):386–92.PubMedCrossRef
13.
Zurück zum Zitat Hatizifotis M, Dolan K, Newbury L, et al. Symptomatic vitamin A deficiency following biliopancreatic diversion. Obes Surg. 2003;13(4):655–7.PubMedCrossRef Hatizifotis M, Dolan K, Newbury L, et al. Symptomatic vitamin A deficiency following biliopancreatic diversion. Obes Surg. 2003;13(4):655–7.PubMedCrossRef
14.
Zurück zum Zitat Serra A, Sechi G, Singh S, et al. Wernicke encephalopathy after obesity surgery: a systematic review. Neurology. 2007;69(6):615. author reply-6.PubMedCrossRef Serra A, Sechi G, Singh S, et al. Wernicke encephalopathy after obesity surgery: a systematic review. Neurology. 2007;69(6):615. author reply-6.PubMedCrossRef
15.
Zurück zum Zitat Slater GH, Ren CJ, Siegel N, et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg. 2004;8(1):48–55. discussion 4–5.PubMedCrossRef Slater GH, Ren CJ, Siegel N, et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg. 2004;8(1):48–55. discussion 4–5.PubMedCrossRef
16.
Zurück zum Zitat Robbins SL, Kumar V, Cotran RS. Robbins and Cotran pathologic basis of disease. 8th ed. Philadelphia: Saunders/Elsevier; 2010. p. 1450. xiv. Robbins SL, Kumar V, Cotran RS. Robbins and Cotran pathologic basis of disease. 8th ed. Philadelphia: Saunders/Elsevier; 2010. p. 1450. xiv.
17.
Zurück zum Zitat Harrison EH, Hussain MM. Mechanisms involved in the intestinal digestion and absorption of dietary vitamin A. J Nutr. 2001;131(5):1405–8.PubMed Harrison EH, Hussain MM. Mechanisms involved in the intestinal digestion and absorption of dietary vitamin A. J Nutr. 2001;131(5):1405–8.PubMed
18.
Zurück zum Zitat Sun H. Membrane receptors and transporters involved in the function and transport of vitamin A and its derivatives. Biochim Biophys Acta. 2012;1821(1):99–112.PubMedCentralPubMedCrossRef Sun H. Membrane receptors and transporters involved in the function and transport of vitamin A and its derivatives. Biochim Biophys Acta. 2012;1821(1):99–112.PubMedCentralPubMedCrossRef
19.
Zurück zum Zitat Lee WB, Hamilton SM, Harris JP, et al. Ocular complications of hypovitaminosis A after bariatric surgery. Ophthalmology. 2005;112(6):1031–4.PubMedCrossRef Lee WB, Hamilton SM, Harris JP, et al. Ocular complications of hypovitaminosis A after bariatric surgery. Ophthalmology. 2005;112(6):1031–4.PubMedCrossRef
20.
Zurück zum Zitat Sommer A, World Health Organization. Vitamin A deficiency and its consequences: a field guide to detection and control. 3rd ed. Geneva: World Health Organization; 1995. p. 69. vii. Sommer A, World Health Organization. Vitamin A deficiency and its consequences: a field guide to detection and control. 3rd ed. Geneva: World Health Organization; 1995. p. 69. vii.
21.
Zurück zum Zitat Sommer A. Xerophthalmia, keratomalacia and nutritional blindness. Int Ophthalmol. 1990;14(3):195–9.PubMedCrossRef Sommer A. Xerophthalmia, keratomalacia and nutritional blindness. Int Ophthalmol. 1990;14(3):195–9.PubMedCrossRef
23.
Zurück zum Zitat World Health Organization. Global prevalence of vitamin A deficiency in populations at risk 1995–2005: WHO global database on vitamin A deficiency. Geneva: World Health Organization; 2009. p. 55. World Health Organization. Global prevalence of vitamin A deficiency in populations at risk 1995–2005: WHO global database on vitamin A deficiency. Geneva: World Health Organization; 2009. p. 55.
24.
Zurück zum Zitat Zalesin KC, Miller WM, Franklin B, et al. Vitamin a deficiency after gastric bypass surgery: an underreported postoperative complication. J Obes. 2011;2011. Zalesin KC, Miller WM, Franklin B, et al. Vitamin a deficiency after gastric bypass surgery: an underreported postoperative complication. J Obes. 2011;2011.
25.
Zurück zum Zitat Clements RH, Katasani VG, Palepu R, et al. Incidence of vitamin deficiency after laparoscopic Roux-en-Y gastric bypass in a university hospital setting. Am Surg. 2006;72(12):1196–202. discussion 203–4.PubMed Clements RH, Katasani VG, Palepu R, et al. Incidence of vitamin deficiency after laparoscopic Roux-en-Y gastric bypass in a university hospital setting. Am Surg. 2006;72(12):1196–202. discussion 203–4.PubMed
26.
Zurück zum Zitat Scopinaro N, Adami GF, Marinari GM, et al. Biliopancreatic diversion. World J Surg. 1998;22(9):936–46. PubMed PMID: 9717419.PubMedCrossRef Scopinaro N, Adami GF, Marinari GM, et al. Biliopancreatic diversion. World J Surg. 1998;22(9):936–46. PubMed PMID: 9717419.PubMedCrossRef
27.
Zurück zum Zitat Spits Y, De Laey JJ, Leroy BP. Rapid recovery of night blindness due to obesity surgery after vitamin A repletion therapy. Br J Ophthalmol. 2004;88(4):583–5.PubMedCentralPubMedCrossRef Spits Y, De Laey JJ, Leroy BP. Rapid recovery of night blindness due to obesity surgery after vitamin A repletion therapy. Br J Ophthalmol. 2004;88(4):583–5.PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat Smets RM, Waeben M. Unusual combination of night blindness and optic neuropathy after biliopancreatic bypass. Bull Soc Belge Ophtalmol. 1999;271:93–6.PubMed Smets RM, Waeben M. Unusual combination of night blindness and optic neuropathy after biliopancreatic bypass. Bull Soc Belge Ophtalmol. 1999;271:93–6.PubMed
29.
Zurück zum Zitat Ledoux S, Msika S, Moussa F, et al. Comparison of nutritional consequences of conventional therapy of obesity, adjustable gastric banding, and gastric bypass. Obes Surg. 2006;16(8):1041–9.PubMedCrossRef Ledoux S, Msika S, Moussa F, et al. Comparison of nutritional consequences of conventional therapy of obesity, adjustable gastric banding, and gastric bypass. Obes Surg. 2006;16(8):1041–9.PubMedCrossRef
30.
Zurück zum Zitat Angulo P. GI epidemiology: nonalcoholic fatty liver disease. Aliment Pharmacol Ther. 2007;25(8):883–9.PubMedCrossRef Angulo P. GI epidemiology: nonalcoholic fatty liver disease. Aliment Pharmacol Ther. 2007;25(8):883–9.PubMedCrossRef
31.
Zurück zum Zitat Chaves GV, Pereira SE, Saboya CJ, et al. Association between liver vitamin A reserves and severity of nonalcoholic fatty liver disease in the class III obese following bariatric surgery. Obes Surg. 2014;24(2):219–24.PubMedCrossRef Chaves GV, Pereira SE, Saboya CJ, et al. Association between liver vitamin A reserves and severity of nonalcoholic fatty liver disease in the class III obese following bariatric surgery. Obes Surg. 2014;24(2):219–24.PubMedCrossRef
32.
Zurück zum Zitat de Pee S, Dary O. Biochemical indicators of vitamin A deficiency: serum retinol and serum retinol binding protein. J Nutr. 2002;132(9 Suppl):2895S–901.PubMed de Pee S, Dary O. Biochemical indicators of vitamin A deficiency: serum retinol and serum retinol binding protein. J Nutr. 2002;132(9 Suppl):2895S–901.PubMed
33.
Zurück zum Zitat Allied Health Sciences Section Ad Hoc Nutrition Committee, Aills L, Blankenship J, et al. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4(5 Suppl):S73–108.PubMedCrossRef Allied Health Sciences Section Ad Hoc Nutrition Committee, Aills L, Blankenship J, et al. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4(5 Suppl):S73–108.PubMedCrossRef
Metadaten
Titel
Ophthalmic Complications of Bariatric Surgery
verfasst von
Rui Azevedo Guerreiro
Rui Ribeiro
Publikationsdatum
01.01.2015
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 1/2015
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1472-y

Weitere Artikel der Ausgabe 1/2015

Obesity Surgery 1/2015 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.