Cunha Selma Freire de Carvalho, Gonçalves Gilson Antônio Pereira, Marchini Julio Sérgio, Roselino Ana Maria Ferreira
Division of Nutrology, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Sao Paulo Med J. 2012;130(5):330-5. doi: 10.1590/s1516-31802012000500010.
Nutritional complications may occur after bariatric surgery, due to restriction of food intake and impaired digestion or absorption of nutrients.
After undergoing vertical gastroplasty and jejunoileal bypass, a female patient presented marked weight loss and protein deficiency. Seven months after the bariatric surgery, she presented dermatological features compatible with acrodermatitis enteropathica, as seen from the plasma zinc levels, which were below the reference values (34.4 mg%). The skin lesions improved significantly after 1,000 mg/day of zinc sulfate supplementation for one week.
The patient's evolution shows that the multidisciplinary team involved in surgical treatment of obesity should take nutritional deficiencies into consideration in the differential diagnosis of skin diseases, in order to institute early treatment.
由于食物摄入量受限以及营养物质消化或吸收受损，减肥手术后可能会出现营养并发症。
一名女性患者在接受垂直胃成形术和空肠回肠旁路术后出现明显体重减轻和蛋白质缺乏。减肥手术后七个月，她出现了与肠病性肢端皮炎相符的皮肤症状，血浆锌水平低于参考值（34.4毫克%）。每天补充1000毫克硫酸锌一周后，皮肤病变明显改善。
患者的病情发展表明，参与肥胖症手术治疗的多学科团队在皮肤病的鉴别诊断中应考虑营养缺乏情况，以便尽早进行治疗。
