Abstract
SummaryBariatric surgery is recognized as the most clinically and cost‐effective treatment for people with severe and complex obesity. Many people presenting for surgery have pre‐existing low vitamin and mineral concentrations. The incidence of these may increase after bariatric surgery as all procedures potentially cause clinically significant micronutrient deficiencies. Therefore, preparation for surgery and long‐term nutritional monitoring and follow‐up are essential components of bariatric surgical care. These guidelines update the 2014 British Obesity and Metabolic Surgery Society nutritional guidelines. Since the 2014 guidelines, the working group has been expanded to include healthcare professionals working in specialist and non‐specialist care as well as patient representatives. In addition, in these updated guidelines, the current evidence has been systematically reviewed for adults and adolescents undergoing the following procedures: adjustable gastric band, sleeve gastrectomy, Roux‐en‐Y gastric bypass and biliopancreatic diversion/duodenal switch. Using methods based on Scottish Intercollegiate Guidelines Network methodology, the levels of evidence and recommendations have been graded. These guidelines are comprehensive, encompassing preoperative and postoperative biochemical monitoring, vitamin and mineral supplementation and correction of nutrition deficiencies before, and following bariatric surgery, and make recommendations for safe clinical practice in the U.K. setting.
Highlights
Bariatric surgery is recognized as the most clinically and cost-effective treatment option for people with severe and complex obesity.[1]
Previous guidance aimed at the management of adolescents undergoing bariatric surgery has only included general nutritional recommendations,[12,13,14] despite this vulnerable group being at high risk of developing nutritional deficiencies.[15,16,17,18,19]
Iron deficiency anaemia may be dietary in origin, with oral diet and iron supplements being insufficient to meet the needs of people following bariatric surgery
Summary
Bariatric surgery is recognized as the most clinically and cost-effective treatment option for people with severe and complex obesity.[1]. Since the 2014 guidelines, a number of other nutritional guidelines for the care of people who undergo bariatric surgery have been published.[3,4,7,8,9,10,11] not all have been related to micronutrition, had dietetic involvement and included either primary care or patient representatives. Previous guidance aimed at the management of adolescents undergoing bariatric surgery has only included general nutritional recommendations,[12,13,14] despite this vulnerable group being at high risk of developing nutritional deficiencies.[15,16,17,18,19] Until recent guidelines by Shawe et al,[11] there has been little detail included in previous guidelines on recommendations for the nutritional management of pregnancy post-surgery. There are no up-to-date, comprehensive U.K. guidelines for the perioperative and postoperative nutritional care of patients undergoing bariatric surgery
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Schedule a callMore From: Obesity reviews : an official journal of the International Association for the Study of Obesity
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