Preoperative nutritional counseling versus standard care prior to bariatric surgery

Effects on postoperative weight loss
  • Stavros A. Antoniou
  • Anastasia Anastasiadou
  • George A. Antoniou
  • Frank-Alexander Granderath
  • Antonios Kafatos
review

DOI: 10.1007/s10353-016-0459-4

Cite this article as:
Antoniou, S.A., Anastasiadou, A., Antoniou, G.A. et al. Eur Surg (2017). doi:10.1007/s10353-016-0459-4

Summary

Background

Little is known about the effect of preoperative nutritional counseling on operative outcomes of bariatric surgery.

Aim

To identify and evaluate the effect of nutritional counseling on perioperative morbidity and postoperative weight loss.

Methods

The database of Medline was queried in May 2016. Randomized controlled trials comparing nutritional counseling of any form with standard care and providing data on perioperative morbidity or weight loss were considered. Pooled risk ratio (RR) or mean difference with 95% confidence intervals (CI) were computed.

Results

Three randomized controlled trials were identified. The RR for postoperative complications was 0.80 (95% CI 0.22–2.86) and the mean weight loss was −11.62 kg (95% CI 0.72 to −23.96). There was high evidence of heterogeneity among reports. No data on operative morbidity were available.

Conclusion

Current data are not adequately robust to support preoperative nutritional intervention as an effective modality to prevent perioperative morbidity and to achieve more optimal postoperative weight control. In the absence of opposing evidence, nutritional counseling prior to surgery may be conventionally recommended.

Keywords

Weight loss Bariatric surgery Preoperative Nutritional counseling Meta-analysis 

Copyright information

© Springer-Verlag Wien 2016

Authors and Affiliations

  • Stavros A. Antoniou
    • 1
    • 2
    • 3
  • Anastasia Anastasiadou
    • 4
  • George A. Antoniou
    • 5
  • Frank-Alexander Granderath
    • 2
  • Antonios Kafatos
    • 1
  1. 1.Department of MedicineUniversity of CreteHeraklionGreece
  2. 2.Center for Minimally Invasive SurgeryNeuwerk Hospital MönchengladbachMönchengladbachGermany
  3. 3.KerateaGreece
  4. 4.Department of Clinical NutritionPapageorgiou University HospitalThessalonikiGreece
  5. 5.Department of Vascular and Endovascular Surgery, The Royal Oldham HospitalPennine Acute Hospitals NHS TrustManchesterUK