Thiamine (Vitamin B1) and Bariatric Surgery: A Critical Focus for Healthcare Providers

Bariatric surgery, a potent intervention for obesity, has become increasingly prevalent. However, it brings forth nutritional challenges, particularly thiamine (Vitamin B1) deficiency. Thiamine is vital for energy metabolism and nerve function, and its deficiency can have serious consequences post-surgery.

  1. Thiamine Absorption: Bariatric procedures alter nutrient absorption, affecting thiamine uptake.
  2. Clinical Manifestations: Thiamine deficiency can lead to Wernicke-Korsakoff syndrome and beriberi, with neurological and cardiovascular implications.
  3. Early Detection: Healthcare providers must monitor thiamine levels regularly and educate patients on symptoms.
  4. Supplementation: Thiamine supplementation is a cornerstone in post-bariatric care, with doses tailored to surgery type.
  5. Multidisciplinary Approach: Collaboration between surgeons, dietitians, and healthcare teams is essential for patient care.

References:

  1. Gletsu-Miller N, Wright BN. Thiamin. In: Seminars in perinatology. 2015; 39(5): 318-326.
  2. Galloway P. Thiamine deficiency in bariatric surgery patients. In: Nutrition and Bariatric Surgery. 2015; 27-43.
  3. Capoccia D, et al. Nutrient deficiencies in patients with obesity considering bariatric surgery: A cross-sectional study. Surg Obes Relat Dis. 2016; 12(2): 476-482.
  4. Aasheim ET, Hofsø D, Hjelmesæth J, Birkeland KI, Bøhmer T. Vitamin status in morbidly obese patients: a cross-sectional study. Am J Clin Nutr. 2008; 87(2): 362-369.
  5. Shada AL, Puzziferri N. Nutritional considerations for patients undergoing bariatric surgery. Med Clin North Am. 2020; 104(1): 43-54.
  6. Saif T, Strain GW, Dakin G, Gagner M, Costa R, Pomp A. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery. Surg Obes Relat Dis. 2012; 8(5): 542-547.
  7. Petering R, et al. Prevalence of nutrient deficiencies in bariatric patients. Nutrition. 2017; 33: 82-88.
  8. Aills L, et al. ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surg Obes Relat Dis. 2008; 4(5 Suppl): S73-S108.
  9. Parrott J, et al. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 2017; 13(5): 727-741.
  10. Alvarez-Leite JI. Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care. 2004; 7(5): 569-575.

 




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