Endocrine Abstracts

Introduction: Obesity is known to be a risk factor for chronic conditions such as cardiovascular disease, diabetes, chronic kidney disease, non-alcoholic fatty liver disease and many cancers. The use of surgeries for the treatment of it is increasingly common.

Material and Methods: Retro and prospective study including 09 patients followed for obesity in the department of endocrinology and metabolic diseases of the UHC Ibn Rochd and who benefited from bariatric surgery with metabolic and nutritional management in the perioperative period.

Results: We reported the observations of nine patients. The average age was 39.3 years (32-47). The 9 patients were morbidly obese with an average BMI of 53.9 kg/m² (46-78) and a waist circumference of 120 cm. The mean duration of obesity was 17 years. Among the triggering factors: pregnancy, divorce and the peripubertal period. All patients underwent sleeve gastrectomy except one "gastric bypass". The 9 patients were placed on a high-protein diet one week before surgery with postoperative nutritional support and vitamin, iron, calcium and magnesium supplementation. The average weight loss was 33.6% of the initial weight in 1 year. Nutritional complications have been noted such as: anemia, hair loss and dry skin, zinc, vitamin B12, calcium and vitamin D deficiency.

Conclusion: The success of bariatric surgery is conditioned by multidisciplinary care with quality nutritional support before and after surgery, in order to optimize long-term weight loss while avoiding the risk of nutritional deficiencies.