Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient
Key Points
Key Points
- Bariatric surgery is not a guarantee of successful weight loss and maintenance.
- Common operations include various banding procedures, which restrict the amount of food entering the stomach, the Roux-en-Y gastric bypass (RYGB), the duodenal switch (DS)/gastric sleeve (GS), or the biliopancreatic diversion (BPD) (Figure 1).
- The use of routine algorithms in postoperative care is essential to reduce the risk of weight regain (WR) and postoperative complications.
- Active nutritional patient education and clinical management to prevent and detect nutritional deficiencies are recommended for all patients undergoing bariatric surgery.
- Management of potential nutritional deficiencies is particularly important for patients undergoing malabsorptive procedures.
- All patients should participate in a comprehensive nutrition and lifestyle management program from a multidisciplinary team including an experienced primary care physician, endocrinologist, or gastroenterologist.
Figure 1. Diagram of Surgical Options
Assessment and Management
...ent and Management...
...toperative Nutritional M...
...crine Society (ES) recommends that nutriti...
...e ES recommends that long-term vitamin and m...
...ommends periodic clinical and biochemical...
...Diabetes Mellitus and Lipids...
...ES recommends that postoperative glycem...
...ests that physicians and floor nurses be...
...ES recommends that obese patients wi...
...ends that lipid abnormalities should be treat...
...ealth and Gout...
...recommends that patients who have un...
...ends vitamin D and calcium supplementatio...
...suggests that patients with freque...
...gical and Eating Behavior Considerations...
...mmends that bariatric surgery patient...
...ularly after procedures with a gastric rest...
...S suggests continuous reinforcement of new nutri...
The ES suggests that patients who present with pos...
...hedule for Clinical and Biochemical Monitor...
...2. Diagnosis and Treatment of Nutritional Def...
...ention and Treatment...
...ctionable WR is defined as over 50% o...
...recommends that a technically proficie...
...mmends that treatment of WR postoper...
...uggests, in cases of severe or unr...
...auses and Prevention of WRHaving t...
...re 2. Bariatric Surgery - Post-op Management...
Selecting a Treatment Regimen
...cting a Treatment Regimen
...oglycemic AgentsHaving trouble viewing...
...cokinetics of Human Insulin and Ins...
...dicationsHaving trouble viewing tab...
...s Affecting Lipid MetabolismHaving...
...Approved Lipid Modulating Combination Tablet...
...Doses of Currently Available Statins Requi...