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Thursday, June 22, 2017

All About Vitamins: Vitamin A deficiency induced Complications of Biliopancreatic diversion (BPD)

Kyle J. Norton(Scholar, Master of Nutrients), all right reserved.
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Named 50 of the best health Tweeters Canada - Huffington Post
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Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Vitamin A, a bi-polar molecule formed by bonds between carbon and hydrogen, is a fat soluble vitamin which can not be stored in the liver but it can be converted from beta-carotene, a powerful antioxidant. The vitamin is best known fir its strong effects in improving vision and enhancing bone growth.

Biliopancreatic diversion (BPD)is a surgery to restrict both food intake and the amount of calories and nutrients the body absorbs with intention of weigh loss.

People with Biliopancreatic diversion (BPD) do found to have an increased risk of complications of osteoporosis, umping syndrome including nausea, weakness, sweating, faintness, and possibly diarrhea soon after eating, poor nutrients, etc.. 

According to a ttral of ten men and 23 women with a mean age of 34 years (range 20-51 years), and a mean BMI of 49.5 kg/m(2) (range 37-77), weight loss after 6 months was 18.9% of the initial weight, but the surgery also induced symptoms of complications including wound infections (15%), early dumping syndrome (6%), diarrhea due to bacterial overgrowth (27%), incisional hernias (15%) and peptic ulcer (15%).

Vitamin A deficiency is found to associate with patients with Biliopancreatic diversion (BPD), leading to the characteristic skin lesions of phrynoderma with nytalopia and xerophthalmia.

The Ghent University Hospital in the study of pregnant woman who had undergone BPD 8 years previously, vitamin A deficiency in these patients may gave birth to a child with bilateral microphthalmia. Infectious. permanent retinal damage.

Dr. Huerta S., the lead researcher at the UCLA Center for Human Nutrition, said, " Complications of BPD may take many years to develop, and the signs and symptoms may be subtle".

In fact, due to result of malabsorptionafter BPD, patients need lifelong follow-up and appropriate vitamin supplementation to prevent deficiencies. Treatment of high doses vitamin A intake may be the resolution in many complications of of Biliopancreatic diversion (BPD).

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(1) Complications of Biliopancreatic Diversion Surgery as Proposed by Scopinaro in the Treatment of Morbid Obesity by Michielson D1, Van Hee R, Hendrickx L.(PubMed)
(2) [Phrynoderma secondary to vitamin A deficiency in a patient with biliopancreatic diversion].[Article in Spanish] by Ocón Bretón J1, Cabrejas Gómez MC, Altermir Trallero J.(PubMed)
(3) Maternal vitamin A deficiency and neonatal microphthalmia: complications of biliopancreatic diversion by Smets KJ1, Barlow T, Vanhaesebrouck P.(PubMed)
(4) Vitamin A deficiency in a newborn resulting from maternal hypovitaminosis A after biliopancreatic diversion for the treatment of morbid obesity by Huerta S1, Rogers LM, Li Z, Heber D, Liu C, Livingston EH.(PubMed)

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