Nutritional Pyramid for Post-gastric Bypass Patients

Moizé, Violeta; Pi‐Sunyer, Xavier; Mochari, Heidi; Vidal, Josep

doi:10.1007/s11695-010-0160-9

Cited by 134 publications

(133 citation statements)

References 45 publications

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“…There are currently no studies that address changes in colorectal mucosal proliferation state or inflammation after gastroplasty or gastric banding, but a unifying hypothesis is that each of the obesity surgery procedures could lead to the promotion of colorectal carcinogenesis via altered colorectal metabolite profiles, secondary to changes to the gut microbiota, combined with modified dietary intake postoperatively. [28][29][30] For example, a diet high in protein is one of the cornerstones of postoperative nutritional care, 31,32 but it has recently been shown that a high-protein, low-carbohydrate diet can promote detrimental metabolite profiles in the colorectum, including a decrease in short-chain fatty acid concentrations and increased exposure to N-nitroso compounds, both of which have been implicated in driving colorectal carcinogenesis. 33 Recently, it has been reported that alterations in the intestinal microbiota and fecal metabolite profile after Roux-en-Y gastric bypass in a rat model are associated with increased fecal cytotoxicity compatible with increased carcinogenicity.…”

Section: Discussionmentioning

confidence: 99%

Increased Risk of Colorectal Cancer After Obesity Surgery

Derogar¹,

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Increased Risk of Colorectal Cancer After Obesity Surgery

Derogar¹,

et al. 2013

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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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“…70,71 RYGB surgery leads to substantial changes in the neural response to food cues, and the importance of this in future research and outcome-based studies is paramount to the long-term success of metabolic surgery. 72 The presence of H. pylori, as part of chronic active gastritis, on preoperative endoscopy, has been documented in 85.5% of patients, in a study on morbidly obese Saudi patients undergoing bariatric surgery.…”

Section: Aspiration Pneumonia 1 Pneumoniamentioning

confidence: 99%

Baseline patient profiling and three-year outcome data after metabolic surgery at a South African centre of excellence

Merwe

Fetter²,

Naidoo³

et al. 2015

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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The bariatric team at Waterfall City Hospital in Gauteng has performed 820 metabolic surgeries under the guidance of an extended team, and with comprehensive recordkeeping. Baseline profiling on more than 50 variables afforded insight into patients undergoing surgery. The available outcome data over three years were comparable with those in the documented literature. The attempted weight loss period prior to agreeing to surgery was 16-18 years. Weight loss in the overall cohort was 29% at three years, with a two-year outcome as follows: diabetes mellitus remission of 81.6% in males and 83.1% in females, full and part-hypertension resolution of 84.8% in males and 74.6% in females, hyperlipidaemia on no treatment of 76.8% in males and 72.1% in females, and sleep apnoea of 75.5% in males and 76.8% in females. Separating out the diabetic group indicated a diabetes mellitus remission of 73.9% in males and 75.1% in females at one year. Improvement in the components of metabolic syndrome was demonstrated in the total cohort. There was an worse profile and higher risk in the male patients. Similarly, higher risk was recorded in the biliopancreatic diversion-duodenal switch cohort, and there was a higher percentage of elected diabetic patients. A wide range of revision surgery was performed, with a higher complication rate (20%) experienced compared to that recorded with the primary surgeries. The morbidity data were separated into medical and surgical morbidity. Major medical morbidity was documented at 5.6% and surgical morbidity at 3.9%. Surgical morbidity in the first 250 cases was reported to be 6% vs. 2.7% in the last 570 cases. Mortality for the cohort was noted to be 0.1%.

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Nutritional Pyramid for Post-gastric Bypass Patients

Cited by 134 publications

References 45 publications

Increased Risk of Colorectal Cancer After Obesity Surgery

Increased Risk of Colorectal Cancer After Obesity Surgery

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Baseline patient profiling and three-year outcome data after metabolic surgery at a South African centre of excellence

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