Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report
Background: Severe obesity is a major public health issue affecting health and life expectancy. Bariatric surgery is one of the most effective treatments for managing severe obesity, facilitating significant weight loss, and improving or resolving comorbid conditions like type 2 diabetes (T2DM), hyp...
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| Language: | English |
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Bushehr University of Medical Sciences
2025-02-01
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| Series: | Iranian South Medical Journal |
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| Online Access: | http://ismj.bpums.ac.ir/article-1-2095-en.pdf |
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| author | Melika Shojaei Fatemeh Nekouei Maryam Nekooei |
| author_facet | Melika Shojaei Fatemeh Nekouei Maryam Nekooei |
| author_sort | Melika Shojaei |
| collection | DOAJ |
| description | Background: Severe obesity is a major public health issue affecting health and life expectancy. Bariatric surgery is one of the most effective treatments for managing severe obesity, facilitating significant weight loss, and improving or resolving comorbid conditions like type 2 diabetes (T2DM), hypertension (HTN), and sleep apnea. However, despite successful weight loss, it may lead to nutritional complications, including hypoalbuminemia, anemia, hypocalcemia, and pancytopenia.
Case Presentation: A 32-year-old woman with a BMI of 42.5 kg/m² underwent mini gastric bypass surgery with a 150 cm biliopancreatic limb (BPL). Post-surgery, her weight decreased to 66 kg, resulting in a 120% reduction in BMI. Approximately 2.5 years later, she developed weakness, lethargy, and difficulty performing daily activities. Clinical evaluations revealed significant hypoalbuminemia. The patient received only two injections of albumin, and has been treated with a high-protein diet and daily protein supplements since then, which corrected the hypoalbuminemia.
Conclusion: BPL length, type of surgery, and patient age and gender should all be considered for selecting patients for bariatric surgery in order to minimize complications like hypoalbuminemia. If complications occur, the initial management should focus on nutritional interventions. Surgical revision, such as reopening the anastomosis, should be considered only when conservative treatments fail. This case underscores the importance of careful surgical planning, thorough evaluation, and adherence to nutritional protocols to prevent complications. Future research should explore factors affecting nutritional and metabolic outcomes and develop preventive strategies. |
| format | Article |
| id | doaj-art-aabde4f4631d4a46a5cbc0d9525191d3 |
| institution | DOAJ |
| issn | 1735-4374 1735-6954 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Bushehr University of Medical Sciences |
| record_format | Article |
| series | Iranian South Medical Journal |
| spelling | doaj-art-aabde4f4631d4a46a5cbc0d9525191d32025-08-20T03:01:47ZengBushehr University of Medical SciencesIranian South Medical Journal1735-43741735-69542025-02-01274319326Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case ReportMelika Shojaei0Fatemeh Nekouei1Maryam Nekooei2 Department of Internal Medicine, School of Medicine, Bushehr University of Medical Sciences, Bu-shehr, Iran Student Research Committee, Bushehr University of Medical Sciences, Bushehr, Iran Department of Biochemistry, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran Background: Severe obesity is a major public health issue affecting health and life expectancy. Bariatric surgery is one of the most effective treatments for managing severe obesity, facilitating significant weight loss, and improving or resolving comorbid conditions like type 2 diabetes (T2DM), hypertension (HTN), and sleep apnea. However, despite successful weight loss, it may lead to nutritional complications, including hypoalbuminemia, anemia, hypocalcemia, and pancytopenia. Case Presentation: A 32-year-old woman with a BMI of 42.5 kg/m² underwent mini gastric bypass surgery with a 150 cm biliopancreatic limb (BPL). Post-surgery, her weight decreased to 66 kg, resulting in a 120% reduction in BMI. Approximately 2.5 years later, she developed weakness, lethargy, and difficulty performing daily activities. Clinical evaluations revealed significant hypoalbuminemia. The patient received only two injections of albumin, and has been treated with a high-protein diet and daily protein supplements since then, which corrected the hypoalbuminemia. Conclusion: BPL length, type of surgery, and patient age and gender should all be considered for selecting patients for bariatric surgery in order to minimize complications like hypoalbuminemia. If complications occur, the initial management should focus on nutritional interventions. Surgical revision, such as reopening the anastomosis, should be considered only when conservative treatments fail. This case underscores the importance of careful surgical planning, thorough evaluation, and adherence to nutritional protocols to prevent complications. Future research should explore factors affecting nutritional and metabolic outcomes and develop preventive strategies.http://ismj.bpums.ac.ir/article-1-2095-en.pdfmini gastric bypasshypoalbuminemiasingle anastomosis gastric bypassroux-en-y gastric bypass |
| spellingShingle | Melika Shojaei Fatemeh Nekouei Maryam Nekooei Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report Iranian South Medical Journal mini gastric bypass hypoalbuminemia single anastomosis gastric bypass roux-en-y gastric bypass |
| title | Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report |
| title_full | Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report |
| title_fullStr | Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report |
| title_full_unstemmed | Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report |
| title_short | Severe Hypoalbuminemia Following Mini Gastric Bypass Surgery: A Case Report |
| title_sort | severe hypoalbuminemia following mini gastric bypass surgery a case report |
| topic | mini gastric bypass hypoalbuminemia single anastomosis gastric bypass roux-en-y gastric bypass |
| url | http://ismj.bpums.ac.ir/article-1-2095-en.pdf |
| work_keys_str_mv | AT melikashojaei severehypoalbuminemiafollowingminigastricbypasssurgeryacasereport AT fatemehnekouei severehypoalbuminemiafollowingminigastricbypasssurgeryacasereport AT maryamnekooei severehypoalbuminemiafollowingminigastricbypasssurgeryacasereport |