Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 1/2015

01-01-2015 | Review Article

Ophthalmic Complications of Bariatric Surgery

Authors: Rui Azevedo Guerreiro, Rui Ribeiro

Published in: Obesity Surgery | Issue 1/2015

Login to get access

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.
Literature
1.
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.
3.
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.
Schweiger C, Keidar A. Nutritional deficiencies in bariatric surgery patients: prevention, diagnosis and treatment. Harefuah. 2010;149(11):715–20, 48
5.
6.
7.
Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26(11–12):1031–7.PubMedCrossRef
8.
Parrish CR. Severe micronutrient deficiencies in RYGB patients: rare but potentially devastating. Pract Gastroenterol. 2011;100:13–27.
9.
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.
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.
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
12.
13.
Hatizifotis M, Dolan K, Newbury L, et al. Symptomatic vitamin A deficiency following biliopancreatic diversion. Obes Surg. 2003;13(4):655–7.PubMedCrossRef
14.
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.
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.
Robbins SL, Kumar V, Cotran RS. Robbins and Cotran pathologic basis of disease. 8th ed. Philadelphia: Saunders/Elsevier; 2010. p. 1450. xiv.
17.
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.
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.
Lee WB, Hamilton SM, Harris JP, et al. Ocular complications of hypovitaminosis A after bariatric surgery. Ophthalmology. 2005;112(6):1031–4.PubMedCrossRef
20.
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.
Sommer A. Xerophthalmia, keratomalacia and nutritional blindness. Int Ophthalmol. 1990;14(3):195–9.PubMedCrossRef
22.
23.
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.
Zalesin KC, Miller WM, Franklin B, et al. Vitamin a deficiency after gastric bypass surgery: an underreported postoperative complication. J Obes. 2011;2011.
25.
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.
Scopinaro N, Adami GF, Marinari GM, et al. Biliopancreatic diversion. World J Surg. 1998;22(9):936–46. PubMed PMID: 9717419.PubMedCrossRef
27.
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.
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.
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.
Angulo P. GI epidemiology: nonalcoholic fatty liver disease. Aliment Pharmacol Ther. 2007;25(8):883–9.PubMedCrossRef
31.
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.
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.
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
Metadata
Title
Ophthalmic Complications of Bariatric Surgery
Authors
Rui Azevedo Guerreiro
Rui Ribeiro
Publication date
01-01-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1472-y

Other articles of this Issue 1/2015

Obesity Surgery 1/2015 Go to the issue

Letter to the Editor

Laparoscopic Roux-en-Y Gastric Bypass: Creation of the Neogastric Pouch

Original Contributions

Duodeno-Jejunal Tube Placement in an Experimental Model of Obesity: Effects on Food Behaviour and Basal Energy Expenditure

Original Contributions

Amelioration of Glycemic Control by Sleeve Gastrectomy and Gastric Bypass in a Lean Animal Model of Type 2 Diabetes: Restoration of Gut Hormone Profile

Original Contributions

Roux-en-Y Gastric Bypass Reduces Lipid Overaccumulation in Liver by Upregulating Hepatic Autophagy in Obese Diabetic Rats

Review Article

Simultaneous Sleeve Gastrectomy and Hiatus Hernia Repair: a Systematic Review

Erratum

Erratum to: Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Roux-En-Y Gastric Bypass for Morbid Obesity and Related Comorbidities: A Meta-Analysis of 21 Studies