关键词: Bacterial overgrowth Bariatric surgery Bile acid malabsorption Cirugía bariátrica Diarrea Diarrhea Dumping syndrome Insuficiencia pancreática Intestino corto Malabsorción Malabsorción de sales biliares Malabsorption Pancreatic insufficiency Short bowel Sobrecrecimiento bacteriano Síndrome de dumping

Mesh : Algorithms Bariatric Surgery / adverse effects Diarrhea / diagnosis etiology therapy Humans Postoperative Complications / diagnosis etiology therapy Syndrome

来  源:   DOI:10.1016/j.endinu.2019.09.013   PDF(Sci-hub)

Abstract:
Obesity is a prevalent health problem in our population. Bariatric surgery is the indicated treatment for severe cases. It is very effective (together with an adequate lifestyle modification) but it is also associated with frequent adverse events. One of the most frequent and disturbing adverse event is diarrhea. Diarrhea after bariatric surgery may be secondary to multiple causes and the physiopathogenic mechanisms may depend on the type of surgery performed. The most frequent diarrhea mechanisms are dumping syndrome, vagotomy, short bowel syndrome, carbohydrate malabsorption, protein malabsorption, alterations of the microbiota, Clostridium difficile infection, bacterial overgrowth, bile salt malabsorption, pancreatic insufficiency, endocrinological disorders, addictive disorders, and other digestive disorders not necessarily related to surgery.
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