MAINTENANCE OF VITAMIN-MINERAL BALANCE AFTER BARIATRIC SURGERY INTERVENTIONS

Currently, bariatric / metabolic surgery is the most effective way to combat obesity and associated metabolic disorders, in particular type II diabetes. The risk of developing nutritional deficiency may be one of the main consequences of all bariatric / metabolic surgical interventions. This article covers literature analysis and our own experiences regarding the correction of vitamins and trace elements. The frequency of development of nutritional deficiency depends on the type of bariatric / metabolic technique performed. The presence of nutritional deficiency increases the incidence of purulent-infectious complications and mortality in this category of patients. Nutritional deficiency leads to the development of other deficiencies associated with insufficient absorption of nutrients such as vitamins, trace elements, etc. Keeping in mind the bypass mechanism of some bariatric / metabolic operations, physiology and competition of the absorbed nutrients in certain departments of the digestive system, we conducted a literature review and our own observations on replacement therapy for deficiencies that exist.