Nutritional Course of Patients Submitted to Bariatric Surgery

Bavaresco, Marinella; Paganini, S.; Lima, Tatiana P.; Wilson, Steven E.; Ceneviva, Reginaldo; Santos, José Ernesto dos; Nonino, Carla Barbosa

doi:10.1007/s11695-008-9721-6

Cited by 141 publications

(102 citation statements)

References 21 publications

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“…Patients should be repeatedly educated about staged meal progression dependent on the time elapsed after surgery and based on the type of surgical procedure they underwent (EL A, B, C, D [177][178][179][180][181][182][183][184][185] ). Patients should also be informed that an excessive number and size of meals will probably result in lower weight loss.…”

Section: Follow-upmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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Section: Follow-upmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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“…However, changes in the nutritional quality of food intake that occur in the preoperative period must not occur during the postoperative period, as this will lead to health problems. We also analyzed fiber intake in post-surgical patients and found that fiber intake up to 12 months after surgery was less than the recommended intake [19]. This finding reflects the need for continuous nutritional education on an outpatient basis, encouraging the consumption of fruits, vegetables, whole grains, and high-fiber foods.…”

Section: Discussionmentioning

confidence: 92%

Verification of Macro- and Micronutrient Intake in the First Year of Roux-En-Y Gastric Bypass Using MSM Method

Frehner¹,

Zaparolli²,

Cruz³

et al. 2017

FNS

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Background: Bariatric surgery is an alternative treatment for obesity. However, physicians need to be aware of the possible consequences of nutritional deficiencies with this type of surgery. This study aimed to determine the prevalence of inadequacy of macro-and micronutrients from the diet in patients undergoing Roux-en-Y gastric bypass after 3, 6, and 12 months postoperatively. Methods: We performed a longitudinal, observational, clinical study during preoperatively and 3-, 6-, and 12-month postoperatively (n = 95 patients). We collected information from medical records of patients in a Reference Clinic of Bariatric Surgery. Quantitative food intake was analyzed by ADS Nutri ® and Multiple Source Method ® software. The obtained data were compared with the daily-recommended intake in accordance with specific guidelines for bariatric surgery. Data were analyzed using t-tests, MannWhitney test, one-way analysis of variance (ANOVA), and Tukey's test. Results: There was a high prevalence of inadequacy of macronutrients and micronutrients from food in the postoperatively period. However, only vitamin B12 intake was adequate based on the daily recommended intake. Conclusions: Our study suggests that the intake of nutrients by feeding is below current recommendations. Individual nutritional counseling with a therapeutic plan for adequate nutrition and prescription supplements are important to ensure that nutritional recommendations are adhered to.

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“…Some studies have indicated that protein intake in the first year after surgery may be much lower than recommended, often closer to 0.5 gm/kg. [46] Certainly, any preexisting hypoalbuminemia could be worsened if adequate protein intake is not achieved during the periods of highest caloric restriction. The reported prevalence of hypoalbuminemia in the literature ranges from 3-11%.…”

Section: Late Complications Nutritional Deficienciesmentioning

confidence: 99%

“…[46] Menstruating and pregnant females are at the greatest risk. Anemia can also be exacerbated by chronic inflammation secondary to obesity.…”

Section: Late Complications Nutritional Deficienciesmentioning

confidence: 99%

Complications in bariatric surgery

Bozkurt¹

2017

Laparosc Endosc Surg Sci

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Bariatric surgery is one of the fastest growing hospital procedures performed in the world and is also an important option for patients with extreme obesity and co-morbidities. Bariatric surgery, however, involves risks and complications. Complications following surgical treatment of severe obesity vary based upon the procedure performed, and rate can be as high as 40 percent. Due to high surgical volume, improving the safety of these operations has become a high priority, leading to development of strict criteria for center accreditation, guidelines for safe and effective bariatric surgery, and careful monitoring of surgical outcomes. This report is a review of major complications of bariatric surgery.

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Nutritional Course of Patients Submitted to Bariatric Surgery

Cited by 141 publications

References 21 publications

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Verification of Macro- and Micronutrient Intake in the First Year of Roux-En-Y Gastric Bypass Using MSM Method

Complications in bariatric surgery

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