Surgery>>>>>The Surgical Management of Obesity
Question 9#

Adolescent patients with morbid obesity are increasingly being referred for consideration of bariatric procedures due to failure of medical management and the risks associated with a lifetime of obesity. What nutritional deficiencies require life-long treatment after RYGB, the most common procedure performed in this age group?

A) Pernicious anemia due to vitamin B12 deficiency
B) Iron deficiency anemia
C) Deficiencies of vitamins A, E, D, and K
D) All of the above

Correct Answer is D

Comment:

Loss of intrinsic factor produced in the gastric fundus, impaired iron absorption, and a deficiency of the fat -soluble vitamins present life-long risks after RYGB and other malabsorptive bariatric procedures. Vitamin replacement and nutritional monitoring are therefore mandatory in bariatric patients.