{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:11:35Z","timestamp":1774620695574,"version":"3.50.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background  The gastric bypass has nutritional and electrolyte disturbances rate of approximately 17%. The most common deficits are protein malnutrition, ferric and zinc, in addition to the vitamin. Although rare, some malnutrition stages reach such severity that ends up being necessary hospitalization and sometimes revisional or reversal surgical procedures.  Aim: To present a proposal of surgical revision for treatment of severe malnutrition after bariatric surgery.  Methods: The procedure is to reconstitute the food transit through the duodenum and proximal jejunum, keeping the gastric bypass restrictive component. As an additional strategy, the gastric fundus resection is performed, aiming to intensify the suppression of the greline and avoiding excessive weight regain.  Results: After initial stabilization, nutritional and electrolytic support, the procedure was performed in two patients as definitive treatment of malnutrition status. Good results were observed at one year follow up.  Conclusion: As improvement option and\/or resolution of the nutritional alterations, surgical therapy is one of the alternatives. There is still no consensus on the surgical technique to be performed. This procedure is based on pathophysiological factors for the treatment of this condition, with good initial results, without significant clinical alterations. Longer follow-up will determine its effectiveness.<\/jats:p>","DOI":"10.1590\/0102-6720201600s10024","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T21:39:27Z","timestamp":1474493967000},"page":"98-101","source":"Crossref","is-referenced-by-count":8,"title":["PROPOSAL OF A REVISIONAL SURGERY TO TREAT SEVERE NUTRITIONAL DEFICIENCY POST-GASTRIC BYPASS"],"prefix":"10.1590","volume":"29","author":[{"given":"Jos\u00e9","family":"SAMPAIO-NETO","sequence":"first","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alcides Jos\u00e9","family":"BRANCO-FILHO","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis S\u00e9rgio","family":"NASSIF","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Th\u00e1","family":"NASSIF","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1via David Jo\u00e3o De","family":"MASI","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graciany","family":"GASPERIN","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2016]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1097\/00000441-200604000-00008","article-title":"Gastrointestinal complications of bariatric surgery: diagnosis and therapy","volume":"331","author":"Abell TL","year":"2006","journal-title":"Am J Med Sci"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"S73","DOI":"10.1016\/j.soard.2008.03.002","article-title":"ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient","volume":"4","author":"Aills L","year":"2008","journal-title":"Surg Obes Relat Dis"},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/00075197-200409000-00010","article-title":"Nutrient deficiencies secondary to bariatric surgery","volume":"7","author":"Alvarez-Leite JI","year":"2004","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1590\/S0004-27302006000300021","article-title":"Berib\u00e9ri p\u00f3s bypass g\u00e1strico: uma complica\u00e7\u00e3o n\u00e3o t\u00e3o rara. 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