Patient perspectives on post-bariatric surgery nutritional supplementation
- 13.06.2023
- 2021 SAGES Oral
Erschienen in:
- Verfasst von
- Alexandra L. Mathews
- Rohan M. Shah
- Patrick J. Sweigert
- Lauren Zuro
- Kimberly Mahoney
- Faith Flaherty
- Bipan Chand
- Erschienen in
- Surgical Endoscopy | Ausgabe 7/2023
Abstract
Background
Bariatric procedures increase patient risk of long-term metabolic complications primarily due to nutrient deficiencies. The mainstay of prevention includes routine vitamin and mineral supplementation; however, patient-reported barriers to daily compliance are poorly understood.
Methods
Post-bariatric surgery patients electively participated in an 11-point outpatient survey at a single academic institution. Surgical procedures included either laparoscopic sleeve gastrectomy (SG) or gastric bypass (GB). At the time of survey, patients ranged from 1-month to 15 years from surgery. Survey items consisted of dichotomous (yes/no), multiple choice, and open-ended free response questions. Descriptive statistics were evaluated.
Results
Two hundred and fourteen responses were collected, 116 (54%) underwent SG and 98 (46%) underwent GB. Of these, 49% of samples were during short-term postoperative follow-up visits (0–3 months), 34% intermediate follow-up (4–12 months), and 17% long-term follow-up (> 1 year). A total of 98% of patients reported that insurance did not cover their supplement cost. Most patients reported current vitamin use (95%), with 87% reporting daily compliance. Daily compliance was observed in 94%, 79%, and 73% of SG patients at short-, intermediate-, and long-term follow-up visits, respectively. While GB patients reported daily compliance in 84%, 100%, and 92% of short, intermediate, and long-term responses. Of those who were unable to take vitamins daily, non-compliance was attributed most to forgetting (54%), and less often to side effects (11%), or taste (11%). Patient-reported strategies for remembering to take vitamins included tying into daily routine (55%), use of a pill box (7%), and alarm reminders (7%).
Conclusions
Daily compliance with post-bariatric surgery vitamin supplementation does not appear to vary based on postoperative time-period or surgical procedure. While a minority of patients struggle with daily compliance, factors associated with non-compliance include patient forgetting, side effects, and taste. Widespread utilization of patient-reported daily reminder strategies may lead to improved overall compliance and reduce incidence of nutritional deficiencies.
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- Titel
- Patient perspectives on post-bariatric surgery nutritional supplementation
- Verfasst von
-
Alexandra L. Mathews
Rohan M. Shah
Patrick J. Sweigert
Lauren Zuro
Kimberly Mahoney
Faith Flaherty
Bipan Chand
- Publikationsdatum
- 13.06.2023
- Verlag
- Springer US
- Erschienen in
-
Surgical Endoscopy / Ausgabe 7/2023
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218 - DOI
- https://doi.org/10.1007/s00464-023-09994-9
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