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Erschienen in: Obesity Surgery 11/2016

19.09.2016 | Letter to the Editor

Why Preoperative Weight Loss in Preparation for Bariatric Surgery Is Important

verfasst von: Luigi Schiavo, Arnaud Sans, Giuseppe Scalera, Alfonso Barbarisi, Antonio Iannelli

Erschienen in: Obesity Surgery | Ausgabe 11/2016

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Excerpt

Bariatric surgery has been shown to be the most effective and durable solution for the treatment and control of morbid obesity [1, 2]. However, there is evidence that it is more effective when combined with appropriate nutritional care [3]. Indeed, the role of the nutritionist is of mainstay importance before as well as after surgery. Herein, we discuss the importance of preparing patients before bariatric surgery detailing the role of an appropriate preoperative diet in order to obtain a safe and consistent weight loss. …
Literatur
1.
Zurück zum Zitat Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, Bantle JP, Sledge I. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009 Mar;122(3):248–56. Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, Bantle JP, Sledge I. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009 Mar;122(3):248–56.
2.
Zurück zum Zitat Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, Lystig T, Sullivan M, Bouchard C, Carlsson B, Bengtsson C, Dahlgren S, Gummesson A, Jacobson P, Karlsson J, Lindroos AK, Lönroth H, Näslund I, Olbers T, Stenlöf K, Torgerson J, Agren G, Carlsson LM. Swedish obese subjects study. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007 Aug 23;357(8):741–52. Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, Lystig T, Sullivan M, Bouchard C, Carlsson B, Bengtsson C, Dahlgren S, Gummesson A, Jacobson P, Karlsson J, Lindroos AK, Lönroth H, Näslund I, Olbers T, Stenlöf K, Torgerson J, Agren G, Carlsson LM. Swedish obese subjects study. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007 Aug 23;357(8):741–52.
3.
Zurück zum Zitat Committee AHSSAHN, Aills L, Blankenship J, Buffington C, Furtado M, Parrott J. (2008) ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008 Sep-Oct;4(5 Suppl):S73–108. Committee AHSSAHN, Aills L, Blankenship J, Buffington C, Furtado M, Parrott J. (2008) ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008 Sep-Oct;4(5 Suppl):S73–108.
4.
Zurück zum Zitat Ross LJ, Wallin S, Osland EJ, Memon MA. Commercial very low energy meal replacements for preoperative weight loss in obese patients: a systematic review. Obes Surg. 2016 Jun;26(6):1343–51. Ross LJ, Wallin S, Osland EJ, Memon MA. Commercial very low energy meal replacements for preoperative weight loss in obese patients: a systematic review. Obes Surg. 2016 Jun;26(6):1343–51.
5.
Zurück zum Zitat Johannsen DL, Knuth ND, Huizenga R, Rood JC, Ravussin E, Hall KD. Metabolic slowing with massive weight loss despite preservation of fat-free mass. J Clin Endocrinol Metab. 2012 July;97(7):2489–96. Johannsen DL, Knuth ND, Huizenga R, Rood JC, Ravussin E, Hall KD. Metabolic slowing with massive weight loss despite preservation of fat-free mass. J Clin Endocrinol Metab. 2012 July;97(7):2489–96.
6.
Zurück zum Zitat Iannelli A, Martini F, Rodolphe A, Schneck AS, Gual P, Tran A, Hébuterne X, Gugenheim J. Body composition, anthropometrics, energy expenditure, systemic inflammation, in premenopausal women 1 year after laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2014 Feb;28(2):500–7.CrossRefPubMed Iannelli A, Martini F, Rodolphe A, Schneck AS, Gual P, Tran A, Hébuterne X, Gugenheim J. Body composition, anthropometrics, energy expenditure, systemic inflammation, in premenopausal women 1 year after laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2014 Feb;28(2):500–7.CrossRefPubMed
7.
Zurück zum Zitat Wolfe RR. The underappreciated role of muscle in health and disease. Am J Clin Nutr. 2006 Sep;84(3):475–82.PubMed Wolfe RR. The underappreciated role of muscle in health and disease. Am J Clin Nutr. 2006 Sep;84(3):475–82.PubMed
8.
Zurück zum Zitat Ebbeling CB, Swain JF, Feldman HA, Wong WW, Hachey DL, Garcia-Lago E, Ludwig DS. Effect of dietary composition on energy expenditure during weight-loss maintenance. JAMA. 2012 JUNE 27;307(24):2626–34. Ebbeling CB, Swain JF, Feldman HA, Wong WW, Hachey DL, Garcia-Lago E, Ludwig DS. Effect of dietary composition on energy expenditure during weight-loss maintenance. JAMA. 2012 JUNE 27;307(24):2626–34.
9.
Zurück zum Zitat Ravussin E, Lillioja S, Knowler WC, Christin L, Freymond D, Abbott WG, Boyce V, Howard BV, Bogardus C. Reduced rate of energy expenditure as a risk factor for body-weight gain. N Engl J Med. 1988 Feb 25;318(8):467–72. Ravussin E, Lillioja S, Knowler WC, Christin L, Freymond D, Abbott WG, Boyce V, Howard BV, Bogardus C. Reduced rate of energy expenditure as a risk factor for body-weight gain. N Engl J Med. 1988 Feb 25;318(8):467–72.
10.
Zurück zum Zitat Schiavo L, Scalera G, Sergio R, De Sena G, Pilone V, Barbarisi A. Clinical impact of Mediterranean enriched-protein diet on liver size, visceral fat, fat mass, and fat-free mass in patients undergoing sleeve gastrectomy. Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1164–70.CrossRefPubMed Schiavo L, Scalera G, Sergio R, De Sena G, Pilone V, Barbarisi A. Clinical impact of Mediterranean enriched-protein diet on liver size, visceral fat, fat mass, and fat-free mass in patients undergoing sleeve gastrectomy. Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1164–70.CrossRefPubMed
11.
Zurück zum Zitat Peterson LA, Cheskin LJ, Furtado M, Papas K, Schweitzer MA, Magnuson TH, Steele KE. Malnutrition in bariatric surgery candidates: multiple micronutrient deficiencies prior to surgery. Obes Surg. 2016 Apr;26(4):833–8.CrossRefPubMed Peterson LA, Cheskin LJ, Furtado M, Papas K, Schweitzer MA, Magnuson TH, Steele KE. Malnutrition in bariatric surgery candidates: multiple micronutrient deficiencies prior to surgery. Obes Surg. 2016 Apr;26(4):833–8.CrossRefPubMed
12.
Zurück zum Zitat Ben-Porat T, Elazary R, Yuval JB, Wieder A, Khalaileh A, Weiss R. Nutritional deficiencies after sleeve gastrectomy: can they be predicted preoperatively? Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1029–36.CrossRefPubMed Ben-Porat T, Elazary R, Yuval JB, Wieder A, Khalaileh A, Weiss R. Nutritional deficiencies after sleeve gastrectomy: can they be predicted preoperatively? Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1029–36.CrossRefPubMed
13.
Zurück zum Zitat Schiavo L, Scalera G, Pilone V, De Sena G, Capuozzo V, Barbarisi A. Micronutrient deficiencies in patients candidate for bariatric surgery: a prospective, preoperative trial of screening, diagnosis, and treatment. Int J Vitam Nutr Res. 2016 May 10:1–8 [Epub ahead of print]. doi:10.1024/0300-9831/a000282. Schiavo L, Scalera G, Pilone V, De Sena G, Capuozzo V, Barbarisi A. Micronutrient deficiencies in patients candidate for bariatric surgery: a prospective, preoperative trial of screening, diagnosis, and treatment. Int J Vitam Nutr Res. 2016 May 10:1–8 [Epub ahead of print]. doi:10.​1024/​0300-9831/​a000282.
14.
Zurück zum Zitat Ruiz-Tovar J, Llavero C, Zubiaga L, Boix E. OBELCHE group. Maintenance of multivitamin supplements after sleeve gastrectomy. Obes Surg. 2016 Feb 3; [Epub ahead of print]. Ruiz-Tovar J, Llavero C, Zubiaga L, Boix E. OBELCHE group. Maintenance of multivitamin supplements after sleeve gastrectomy. Obes Surg. 2016 Feb 3; [Epub ahead of print].
15.
Zurück zum Zitat Anty R, Iannelli A, Patouraux S, Bonnafous S, Lavallard VJ, Senni-Buratti M. Amor IB, Staccini-Myx A, Saint-Paul MC, Berthier F, Huet PM, Le Marchand-Brustel Y, Gugenheim J, Gual P, Tran A. A new composite model including metabolic syndrome, alanine aminotransferase and cytokeratin-18 for the diagnosis of non-alcoholic steatohepatitis in morbidly obese patients. Aliment Pharmacol Ther. 2010 Dec;32(11–12):1315–22.CrossRefPubMed Anty R, Iannelli A, Patouraux S, Bonnafous S, Lavallard VJ, Senni-Buratti M. Amor IB, Staccini-Myx A, Saint-Paul MC, Berthier F, Huet PM, Le Marchand-Brustel Y, Gugenheim J, Gual P, Tran A. A new composite model including metabolic syndrome, alanine aminotransferase and cytokeratin-18 for the diagnosis of non-alcoholic steatohepatitis in morbidly obese patients. Aliment Pharmacol Ther. 2010 Dec;32(11–12):1315–22.CrossRefPubMed
16.
Zurück zum Zitat Miller GD, Nicklas BJ, Fernandez A. Serial changes in inflammatory biomarkers following Roux-en-Y gastric bypass surgery. Paired editorial Iannelli A, Schneck AS, Gugenheim J. Surg Obes Relat Dis. 2011 Sep-Oct;7(5):625–7.CrossRef Miller GD, Nicklas BJ, Fernandez A. Serial changes in inflammatory biomarkers following Roux-en-Y gastric bypass surgery. Paired editorial Iannelli A, Schneck AS, Gugenheim J. Surg Obes Relat Dis. 2011 Sep-Oct;7(5):625–7.CrossRef
17.
Zurück zum Zitat Iannelli A, Martini F, Schneck AS, Ghavami B, Gugenheim J. Preoperative 4-week supplementation with omega-3 polyunsaturated fatty acids reduces liver volume and facilitates bariatric surgery in morbidly obese patients. Obes Surg. 2013 Nov;23(11):1761–5.CrossRefPubMed Iannelli A, Martini F, Schneck AS, Ghavami B, Gugenheim J. Preoperative 4-week supplementation with omega-3 polyunsaturated fatty acids reduces liver volume and facilitates bariatric surgery in morbidly obese patients. Obes Surg. 2013 Nov;23(11):1761–5.CrossRefPubMed
18.
Zurück zum Zitat Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with 380 two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in 381 the super-super obese patient. Obes Surg. 2003 Dec;13(6):861–4.CrossRefPubMed Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with 380 two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in 381 the super-super obese patient. Obes Surg. 2003 Dec;13(6):861–4.CrossRefPubMed
19.
Zurück zum Zitat Nguyen NT, Longoria M, Gelfand DV, Sabio A, Wilson SE. Staged laparoscopic Roux-en-Y: a novel two-stage bariatric operation as an alternative in the super-obese with massively enlarged liver. Obes Surg. 2005 Aug;15(7):1077–81.CrossRefPubMed Nguyen NT, Longoria M, Gelfand DV, Sabio A, Wilson SE. Staged laparoscopic Roux-en-Y: a novel two-stage bariatric operation as an alternative in the super-obese with massively enlarged liver. Obes Surg. 2005 Aug;15(7):1077–81.CrossRefPubMed
20.
Zurück zum Zitat Iannelli A, Kassir R, Gugenheim J. The long and narrow gastric pouch for laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2014 Oct;24(10):1744–5.CrossRefPubMed Iannelli A, Kassir R, Gugenheim J. The long and narrow gastric pouch for laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2014 Oct;24(10):1744–5.CrossRefPubMed
21.
Zurück zum Zitat Iannelli A, Schneck AS, Hébuterne X, Gugenheim J. Gastric pouch resizing for Roux-en-Y gastric bypass failure. Surg Obes Relat Dis. 2013 Mar-Apr;9(2):260–7.CrossRefPubMed Iannelli A, Schneck AS, Hébuterne X, Gugenheim J. Gastric pouch resizing for Roux-en-Y gastric bypass failure. Surg Obes Relat Dis. 2013 Mar-Apr;9(2):260–7.CrossRefPubMed
Metadaten
Titel
Why Preoperative Weight Loss in Preparation for Bariatric Surgery Is Important
verfasst von
Luigi Schiavo
Arnaud Sans
Giuseppe Scalera
Alfonso Barbarisi
Antonio Iannelli
Publikationsdatum
19.09.2016
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 11/2016
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2381-z

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