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Managing Common Nutrition Problems After Bariatric Surgery

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The ASMBS Textbook of Bariatric Surgery

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Abstract

Managing common nutrition problems after bariatric surgery requires clear understanding of the anatomical changes that occur with each type of bariatric surgery, the nutritional implications of these changes after surgery, when to expect these complications to arise, and how to address them. The chapter describes the types of bariatric surgery, changes that may contribute to nutrition problems after surgery, and, finally, how to recognize and treat potential nutrition issues that arise after the surgery.

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References

  1. Kruseman M, Leimgruber A, Zumbach F, Golay A. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 2010;110(4):527–34.

    Article  PubMed  Google Scholar 

  2. Langer FB, Reza Hoda MA, Bohdjalian A, Felberbauer FX, Zacherl J, Wenzl E, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15(7):1024–9.

    Article  PubMed  CAS  Google Scholar 

  3. Koch TR, Finelli FC. Postoperative metabolic and nutritional complications of bariatric surgery. Gastroenterol Clin North Am. 2010;39(1):109–24.

    Article  PubMed  Google Scholar 

  4. Snyder-Marlow G, Taylor D, Lenhard MJ. Nutrition care for patients undergoing laparoscopic sleeve gastrectomy for weight loss. J Am Diet Assoc. 2010;110(4):600–7.

    Article  PubMed  Google Scholar 

  5. Smith BR, Schauer P, Nguyen NT. Surgical approaches to the treatment of obesity: bariatric surgery. Med Clin North Am. 2011;95(5):1009–30.

    Article  PubMed  Google Scholar 

  6. Beckman LM, Beckman TR, Earthman CP. Changes in gastrointestinal hormones and leptin after Roux-en-Y gastric bypass procedure: a review. J Am Diet Assoc. 2010;110(4):571–84.

    Article  PubMed  CAS  Google Scholar 

  7. Alvarez-Leite JI. Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care. 2004;7(5):569–75. Review.

    Article  PubMed  Google Scholar 

  8. Manchester S, Roye GD. Bariatric surgery: an overview for dietetics professionals. Nutr Today. 2011;46(6):264–73.

    Article  Google Scholar 

  9. Valentino D, Sriram K, Shankar P. Update on micronutrients in bariatric surgery. Curr Opin Clin Nutr Metab Care. 2011;14(6):635–41.

    Article  PubMed  CAS  Google Scholar 

  10. Alger-Mayer S, Polimeni JM, Malone M. Preoperative weight loss as a predictor of long-term success following Roux-en-Y gastric bypass. Obes Surg. 2008;18(7):772–5. Epub 2008 Apr 8.

    Article  PubMed  Google Scholar 

  11. Allied Health Sciences Section Ad Hoc Nutrition Committee, Aills L, Blankenship J, Buffington C, Furtado M, Parrott J. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4(5 Suppl):S73–108. Epub 2008 May 19.

    Article  PubMed  Google Scholar 

  12. Weller WE, Rosati C, Hannan EL. Relationship between surgeon and hospital volume and readmission after bariatric operation. J Am Coll Surg. 2007;204(3):383–91.

    Article  PubMed  Google Scholar 

  13. Burge JC, Schaumburg JZ, Choban PS, DiSilvestro RA, Flancbaum L. Changes in patients’ taste acuity after Roux-en-Y gastric bypass for clinically severe obesity. J Am Diet Assoc. 1995;95:666–70.

    Article  PubMed  CAS  Google Scholar 

  14. Cummings D, Shannon M. Ghrelin and gastric bypass: is there a hormonal contribution to surgical weight loss? J Clin Endocrinol Metab. 2003;88(7):2999–3002.

    Article  PubMed  CAS  Google Scholar 

  15. Tong J, Mannea E, Aimé P, Pfluger PT, Yi CX, Castaneda TR, et al. Ghrelin enhances olfactory sensitivity and exploratory sniffing in rodents and humans. J Neurosci. 2011;31(15):5841–6.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  16. Frezza EE, Ikramuddin S, Gourash W, Rakitt T, Kingston A, Luketich J, et al. Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2002;16(7):1027–31. Epub 2002 May 3.

    Article  PubMed  CAS  Google Scholar 

  17. Klaus A, Weiss H. Is preoperative manometry in restrictive bariatric procedures necessary? Obes Surg. 2008;18(8):1039–42. Epub 2008 Apr 2. Review.

    Article  PubMed  Google Scholar 

  18. Faria SL, Faria OP, Buffington C, de Almeida Cardeal M, Ito MK. Dietary protein intake and bariatric surgery patients: a review. Obes Surg. 2011;21(11):1798–805.

    Article  PubMed  Google Scholar 

  19. Hall WL, Millward DJ, Long SJ, Morgan LM. Casein and whey exert different effects on plasma amino acid profiles, gastrointestinal hormone secretion and appetite. Br J Nutr. 2003;89(2):239–48.

    Article  PubMed  CAS  Google Scholar 

  20. [no authors listed] Food and Nutrition Board. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Consensus Report. Institute of Medicine of the National Academies. 5 Sept 2002. http://www.iom.edu/Reports/2002/Dietary-Reference-Intakes-for-Energy-Carbohydrate-Fiber-Fat-Fatty-Acids-Cholesterol-Protein-and-Amino-Acids.aspx. Last accessed 17 May 2013.

  21. Fujioka K. Follow-up of nutritional and metabolic problems after bariatric surgery. Diabetes Care. 2005;28(2):481–4.

    Article  PubMed  Google Scholar 

  22. Signori C, Zalesin KC, Franklin B, Miller WL, McCullough PA. Effect of gastric bypass on vitamin D and secondary hyperparathyroidism. Obes Surg. 2010;20(7):949–52.

    Article  PubMed  Google Scholar 

  23. Davies DJ, Baxter JM, Baxter JN. Nutritional deficiencies after bariatric surgery. Obes Surg. 2007;17(9):1150–8. Review.

    Article  PubMed  CAS  Google Scholar 

  24. Buchwald H, Ikramuddin S, Dorman RB, Schone JL, Dixon JB. Management of the metabolic/bariatric surgery patient. Am J Med. 2011;124(12):1099–105.

    Article  PubMed  Google Scholar 

  25. Kellogg TA, Bantle JP, Leslie DB, Redmond JB, Slusarek B, Swan T, et al. Postgastric bypass hyperinsulinemic hypoglycemia syndrome: characterization and response to a modified diet. Surg Obes Relat Dis. 2008;4(4):492–9.

    Article  PubMed  Google Scholar 

  26. Jacques J. The latest on nutrition and hair loss in the bariatric patient. Bariatric Times. 19 Sept 2008. http://bariatrictimes.com/the-latest-on-nutrition-and-hair-loss-in-the-bariatric-patient/. Last accessed 17 May 2013.

  27. Iglezias Brandao de Oliveira C, Adami Chaim E, da Silva BB. Impact of rapid weight reduction on risk of cholelithiasis after bariatric surgery. Obes Surg. 2003;13:625–8.

    Article  PubMed  Google Scholar 

  28. Méndez-Sánchez N, González V, Aguayo P, Sánchez JM, Tanimoto MA, Elizondo J, et al. Fish Oil (n-3) polyunsaturated fatty acids beneficially affect biliary cholesterol nucleation time in obese women losing weight. J Nutr. 2001;131(9):2300–3.

    PubMed  Google Scholar 

  29. Maggard MA, Yermilov I, Li Z, Maglione M, Newberry S, Suttorp M, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JAMA. 2008;300(19):2286–96.

    Article  PubMed  CAS  Google Scholar 

  30. de Zwaan M, Hilbert A, Swan-Kremeier L, Simonich H, Lancaster K, Howell LM, et al. Comprehensive interview assessment of eating behavior 18–35 months after gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2010;6(1):79–85.

    Article  PubMed  Google Scholar 

  31. Gorin AA, Raftopoulos I. Effect of mood and eating disorders on the short-term outcome of laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2009;19(12):1685–90.

    Article  PubMed  Google Scholar 

  32. Deitel M. Anorexia nervosa following bariatric surgery. Obes Surg. 2002;12(6):729–30.

    Article  PubMed  Google Scholar 

  33. Segal A, Kinoshita Kussunoki D, Larino MA. Post-surgical refusal to eat: anorexia nervosa, bulimia nervosa or a new eating disorder? A case series. Obes Surg. 2004;14(3):353–60.

    Article  PubMed  Google Scholar 

  34. Coates PS, Fernstrom JD, Fernstrom MH, Schauer PR, Greenspan SL. Gastric bypass surgery for morbid obesity leads to an increase in bone turnover and a decrease in bone mass. J Clin Endocrinol Metab. 2004;89(3):1061–5.

    Article  PubMed  CAS  Google Scholar 

  35. Bruno C, Fulford AD, Potts JR, McClintock R, Jones R, Cacucci BM, et al. Serum markers of bone turnover are increased at six and 18 months after Roux-en-Y bariatric surgery: correlation with the reduction in leptin. J Clin Endocrinol Metab. 2010;95(1):159–66.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  36. Scopinaro N, Marinari GM, Pretolesi F, Papadia F, Murelli F, Marini P, et al. Energy and nitrogen absorption after biliopancreatic diversion. Obes Surg. 2000;10(5):436–41.

    Article  PubMed  CAS  Google Scholar 

  37. Holick MF. Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr. 2004;79:362–71. Erratum in: Am J Clin Nutr 2004;79:890.

    PubMed  CAS  Google Scholar 

  38. Guyton KZ, Kensler TW, Posner GH. Vitamin D and vitamin D analogs as cancer chemopreventive agents. Nutr Rev. 2003;61:227–38.

    Article  PubMed  Google Scholar 

  39. Hayes CE, Nashold FE, Spach KM, Pedersen LB. The immunological functions of the vitamin D endocrine system. Cell Mol Biol (Noisy-le-Grand). 2003;49:277–300.

    CAS  Google Scholar 

  40. Mahlay NF, Verka LG, Thomsen K, Merugu S, Salomone M. Vitamin D status before Roux-en-Y and efficacy of prophylactic and therapeutic doses of vitamin D in patients after Roux-en-Y gastric bypass surgery. Obes Surg. 2009;19(5):590–4.

    Article  PubMed  Google Scholar 

  41. Ponsky TA, Brody F, Pucci E. Alterations in gastrointestinal physiology after Roux-en-Y gastric bypass. J Am Coll Surg. 2005;201(1):125–31. Review.

    Article  PubMed  Google Scholar 

  42. Shiffman ML, Kaplan GD, Brinkman-Kaplan V, Vickers FF. Prophylaxis against gallstone formation with ursodeoxycholic acid in patients participating in a very-low-calorie diet program. Ann Intern Med. 1995;122:899–905.

    Article  PubMed  CAS  Google Scholar 

  43. Sugerman HJ, Brewer WH, Shiffman ML, Brolin RE, Fobi MA, Linner JH, et al. A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss. Am J Surg. 1995;169:91–6; discussion 96–97.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, George Washington Medical Faculty Associates, 2150 Pennsylvania Avenue, NW Suite 6B-412, Washington, DC, 20037, USA

    Claire M. LeBrun MPH, RD, LD

Authors
  1. Claire M. LeBrun MPH, RD, LD
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Correspondence to Claire M. LeBrun MPH, RD, LD .

Editor information

Editors and Affiliations

  1. GI/Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA

    Christopher Still

  2. Department of Weight and Eating Disorders, University of Pennsylvania, Philadelphia, Pennsylvania, USA

    David B. Sarwer

  3. Policy Initiatives and Advocacy, American Dietetic Association, Falls Church, Virginia, USA

    Jeanne Blankenship

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LeBrun, C.M. (2014). Managing Common Nutrition Problems After Bariatric Surgery. In: Still, C., Sarwer, D., Blankenship, J. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1197-4_13

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  • DOI: https://doi.org/10.1007/978-1-4939-1197-4_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1196-7

  • Online ISBN: 978-1-4939-1197-4

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