Malnutrition: The Hidden Danger in Bariatric Surgery

Malnutrition is a hidden, subtle, and dangerous challenge in bariatric surgery. The severely obese, almost always burdened by other comorbidities, and mixed dietary histories are also, all too often, malnourished, especially in micronutrients, a setting that leads to complications not only in the perioperative period but also during the years after the surgery. The objective of this review was to offer a case report, review the assessment of obesity and malnutrition, note approaches to prevention and treatment, and suggest the founding of metabolic centers to facilitate interdisciplinary approaches to this serious and common problem.