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Current Obesity Reports
Erschienen in: Current Obesity Reports 3/2017

17.07.2017 | Health Services and Programs (R Welbourn, Section Editor)

Nutritional and Micronutrient Care of Bariatric Surgery Patients: Current Evidence Update

verfasst von: Michael A. Via, Jeffrey I. Mechanick

Erschienen in: Current Obesity Reports | Ausgabe 3/2017

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Abstract

Purpose of Review

The continued success of bariatric surgery to treat obesity and obesity-associated metabolic conditions creates a need for a strong understanding of clinical nutrition both before and after these procedures.

Recent Findings

Surgically induced alteration of gastrointestinal physiology can affect the nutrition of individuals, especially among those who have undergone malabsorptive procedures. While uncommon, a subset of patients may develop protein-calorie malnutrition. In these cases, nutrition support should be tailored to the severity of malnutrition.

Summary

Among all patients who undergo bariatric surgery, high rates of micronutrient deficiencies have been observed. To mitigate these deficiencies, empiric supplementation with multivitamins, calcium citrate, and vitamin D is generally recommended. Periodic surveillance should be performed for commonly deficient micronutrients, including thiamin (B1), folate (B9), cobalamin (B12), iron, and vitamin D. Following Roux-en-Y gastric bypass, serum levels of copper and zinc should also be monitored. In addition, lipid-soluble vitamins should be monitored following biliopancreatic diversion with/without duodenal switch.
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Metadaten
Titel
Nutritional and Micronutrient Care of Bariatric Surgery Patients: Current Evidence Update
verfasst von
Michael A. Via
Jeffrey I. Mechanick
Publikationsdatum
17.07.2017
Verlag
Springer US
Erschienen in
Current Obesity Reports / Ausgabe 3/2017
Elektronische ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-017-0271-x

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