What are the dietary guidelines following bariatric surgery?

Marcason, Wendy

doi:10.1016/j.jada.2004.01.033

Cited by 44 publications

(27 citation statements)

References 4 publications

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“…It resembles the results of other studies [4,14] which conclude that the nutrition is ample and close to the ideal in these patients. Other authors mention an important deficit in protein intake, reaching only 46 g/day, which is considerably lower than the recommended 60 g/day [6,15]. These differences might be explained by the geographical differences in the access to meat.…”

Section: Discussionmentioning

confidence: 99%

What Are Obese Patients Able to Eat after Roux-en-Y Gastric Bypass?

Ortega-Evangelio

Fernández²,

Sebastiá

2012

Obes Facts

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Background/Aims: The goal of this study was to analyze the likelihood of patients undergoing Roux-en-Y gastric bypass (RYGB) to recover a normal daily food intake, and the possible influence of dietary and exercise habits on long-term weight loss. Methods: The sample included 107 morbidly obese postoperative patients with at least 1 year of follow-up. The data collected included anthropometry, dietary and exercise habits, and information on ingested food. The unpaired Student’s t test and the multivariate step-by-step regression were used in the analysis. Results: The mean preoperative BMI was 50.7 ± 11.8 kg/m², which had decreased at the moment of survey to 31.7 ± 5.4 kg/m². The mean % Excess of BMI Lost (%EBMIL) was 77.4 ± 23.7%. The nutritional components of diet were similar to those for the nonobese population. There were no significant differences in %EBMIL regarding number of meals, social habits, components of diet, or amount of exercise. The daily mean caloric intake (1,364 ± 293 kcal) was the only parameter significantly related to the %EBMIL outcome. More than 30% of the patients had intolerance to certain foods. Conclusion: Obese patients undergoing RYGB can establish a postoperative lifestyle and diet similar to the ideal. Only the daily amount of ingested calories demonstrated a statistically significant influence on weight loss over time.

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Section: Discussionmentioning

confidence: 99%

What Are Obese Patients Able to Eat after Roux-en-Y Gastric Bypass?

Ortega-Evangelio

Fernández²,

Sebastiá

2012

Obes Facts

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“…Data indicate that GBP patients often experience intolerance to common foods, such as red meat, dry or tough poultry or pork, bread or doughy textured starches, celery, and coconut (103,104). Studies suggest that for most patients, protein needs can be met by 1.0 to 1.5 g/kg of ideal body weight, and their fluid needs can be met by 35 mL/kg or 1 mL/kcal of estimated energy requirements (105,106).…”

Section: Postoperative Care: Fluid and Proteinmentioning

confidence: 99%

Criteria for Patient Selection and Multidisciplinary Evaluation and Treatment of the Weight Loss Surgery Patient

et al. 2005

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Criteria for patient selection and multidisciplinary evaluation and treatment of the weight loss surgery patient. Obes Res. 2005;13:234 -243. Objective: To provide evidence-based guidelines for patient selection and to recommend the medical and nutritional aspects of multidisciplinary care required to minimize perioperative and postoperative risks in patients with severe obesity who undergo weight loss surgery (WLS). Research Methods and Procedures: Members of the Multidisciplinary Care Task Group conducted searches of MEDLINE and PubMed for articles related to WLS in general and medical and nutritional care in particular. Pertinent abstracts and literature were reviewed for references. Multiple searches were carried out for various aspects of multidisciplinary care published between 1980 and 2004. A total of 3000 abstracts were identified; 242 were reviewed in detail. Results: We recommended multidisciplinary screening of WLS patients to ensure appropriate selection; preoperative assessment for cardiovascular, pulmonary, gastrointestinal, endocrine, and other obesity-related diseases associated with increased risk for complications or mortality; preoperative weight loss and cessation of smoking; perioperative prophylaxis for deep vein thrombosis and pulmonary embolism (PE); preoperative and postoperative education and counseling by a registered dietitian; and a well-defined postsurgical diet progression. Discussion: Obesity-related diseases are often undiagnosed before WLS, putting patients at increased risk for complications and/or early mortality. Multidisciplinary assessment and care to minimize short-and long-term risks include: comprehensive medical screening; appropriate pre-, peri-, and postoperative preparation; collaboration with multiple patient care disciplines (e.g., anesthesiology, pulmonary medicine, cardiology, and psychology); and long-term nutrition education/counseling.

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“…Bariatric surgery forces dietary modification and limitation on all participants [1][2][3][4]. Roux-en-Y gastric bypass surgery is no exception to these food limitations [5].…”

Section: Introductionmentioning

confidence: 99%

High and Low Fat Food Selection with Reported Frequency Intolerance Following Roux-en-Y Gastric Bypass

Thomas

Marcus

2008

OBES SURG

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Roux-en-Y bariatric patients in the DAP demonstrated typical "dieting behavior" by selecting low-fat foods at a greater frequency than high-fat foods. Although selected more, these low-fat foods also showed significantly worse intolerance frequencies. Thus, current dietary/nutrition professional recommendations to avoid high-fat foods during this postsurgery transition time are problematic. Future bariatric studies are needed to further explore this and other commonly practiced "dieting behaviors" in bariatric patients.

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What are the dietary guidelines following bariatric surgery?

Cited by 44 publications

References 4 publications

What Are Obese Patients Able to Eat after Roux-en-Y Gastric Bypass?

What Are Obese Patients Able to Eat after Roux-en-Y Gastric Bypass?

Criteria for Patient Selection and Multidisciplinary Evaluation and Treatment of the Weight Loss Surgery Patient

High and Low Fat Food Selection with Reported Frequency Intolerance Following Roux-en-Y Gastric Bypass

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