Fasts after bariatric surgery

Chan, Fiona; Slater, Chris; Syed, Akheel A.

doi:10.1136/bmj.c3706

Cited by 11 publications

(3 citation statements)

References 2 publications

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“…Additionally, there were 90.16% and 81.97% agreements on the need for special nutritional support during fasting after MBS and proper laboratory workup and an abdomen ultrasound to assess patients before fasting every year, respectively. These recommendations were meant to avoid any nutritional derangement during fasting, giving time to correct and replace any deficiencies and rule out any gallstones or renal stones aggravated by dehydration during fasting (10,11). However, the committee does not have any concern regarding performing MBS during Ramadan, and 95.08% voted for the feasibility and safety of performing MBS during Ramadan.…”

Section: Discussionmentioning

confidence: 99%

Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus

et al. 2021

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Background Fasting during Ramadan is one of the five pillars of the Muslim faith. Despite the positive effects of fasting on health, there are no guidelines or clear recommendations regarding fasting after metabolic/bariatric surgery (MBS). The current study reports the result of a modified Delphi consensus among expert metabolic/bariatric surgeons with experience in managing patients who fast after MBS. Methods A committee of 61 well-known metabolic and bariatric surgeons from 24 countries was created to participate in the Delphi consensus. The committee voted on 45 statements regarding recommendations and controversies around fasting after MBS. An agreement/disagreement ≥ of 70.0% was regarded as consensus. ResultsThe experts reached a consensus on 40 out of 45 statements after two rounds of voting. One hundred percent of the experts believed that fasting needs special nutritional support in patients who underwent MBS. The decision regarding fasting must be coordinated among the surgeon, the nutritionist and the patient. At any time after MBS, 96.7% advised stopping fasting in the presence of persistent symptoms of intolerance. Seventy percent of the experts recommended delaying fasting after MBS for 6 to 12 months after combined and malabsorptive procedures according to the patient's situation and surgeon's experience, and 90.1% felt that proton pump inhibitors should be continued in patients who start fasting less than 6 months after MBS. There was consensus that fasting may help in weight loss, improvement/remission of non-alcoholic fatty liver disease, dyslipidemia, hypertension and type 2 diabetes mellitus among 88.5%, 90.2%, 88.5%, 85.2% and 85.2% of experts, respectively. Conclusion Experts voted and reached a consensus on 40 statements covering various aspects of fasting after MBS.

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Section: Discussionmentioning

confidence: 99%

Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus

et al. 2021

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“…After this period, the risk of vomiting decreases. Therefore, healthy patients are allowed to partake in ritual fasting as long as they are properly hydrated before fasting (131).…”

Section: Long-term Dietary and Lifestyle Recommendationsmentioning

confidence: 99%

Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice

Sherf-Dagan¹,

Goldenshluger

Globus³

et al. 2017

Advances in Nutrition

229

133

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Bariatric surgery is currently the most effective treatment for morbid obesity and its associated metabolic complications. To ensure long-term postoperative success, patients must be prepared to adopt comprehensive lifestyle changes. This review summarizes the current evidence and expert opinions with regard to nutritional care in the perioperative and long-term postoperative periods. A literature search was performed with the use of different lines of searches for narrative reviews. Nutritional recommendations are divided into 3 main sections: ) presurgery nutritional evaluation and presurgery diet and supplementation;) postsurgery diet progression, eating-related behaviors, and nutritional therapy for common gastrointestinal symptoms; and ) recommendations for lifelong supplementation and advice for nutritional follow-up. We recognize the need for uniform, evidence-based nutritional guidelines for bariatric patients and summarize recommendations with the aim of optimizing long-term success and preventing complications.

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“…Although fasting does not have a significant negative effect on healthy individuals (16,17), total hunger during long summer days (avoiding all kinds of nutrition, including fluids) may put patients at risk of dehydration after bariatric surgery (18). Long-time fasting can lead to a desire to eat faster in larger quantities, leading to vomiting, increased dehydration, and malnutrition.…”

Section: Discussionmentioning

confidence: 99%

Fasting Experiences of the Patients after Sleeve Gastrectomy: An Observational Cohort Study

2022

ircmj

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Background: Demands for fasting occasionally arise in patients undergoing bariatric surgery, depending on their beliefs. Objectives: In the present study, patients who had undergone laparoscopic sleeve gastrectomy (LSG) and experienced fasting at different postoperative times were examined, and the effects of fasting in Ramadan were evaluated. Methods: A total of 206 patients who underwent LSG were included in the study. All participants were asked to complete three separate questionnaires. The first questionnaire consisted of 15 items on general eating habits and fasting. The second questionnaire comprised 7 items, scores on a 10-point scale, assessing the feeling of hunger while fasting and the desire to get food. The third questionnaire included a total of 9 items asked to determine the psychological state. Results: The first fasting was observed 13.6±9.1 months (1-36) after the operation. The mean hunger/food cravings score was 26.1±9.6, and the mean psychological disturbance index score was 6.9±3.8. A total of 42.6% of the patients stated that they lost weight while fasting. There was no significant difference between the genders in terms of food consumption habits. There was no difference between the groups in terms of weight and energy level changes after the initiation of fasting. Conclusion: One year after LSG, most people begin fasting, and women begin their fasting earlier than men. Fasting becomes more difficult after surgery as time passes.

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Fasts after bariatric surgery

Cited by 11 publications

References 2 publications

Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus

Religious Fasting of Muslim Patients After Metabolic and Bariatric Surgery: a Modified Delphi Consensus

Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice

Fasting Experiences of the Patients after Sleeve Gastrectomy: An Observational Cohort Study

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