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Current Obesity Reports

, Volume 6, Issue 3, pp 286–296 | Cite as

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

  • Michael A. Via
  • Jeffrey I. Mechanick
Health Services and Programs (R Welbourn, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Health Services and Programs

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.

Keywords

Bariatric surgery Obesity Protein-calorie malnutrition Micronutrient deficiency Deficiency screening 

Notes

Compliance with Ethical Standards

Conflict of Interest

Michael A. Via and Jeffrey I. Mechanick declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Division of Endocrinology, Diabetes, and Bone DiseaseMount Sinai Beth Israel Medical CenterNew YorkUSA
  2. 2.Marie-Josee and Henry R. Kravis Center For Cardiovascular HealthMount Sinai HeartNew YorkUSA
  3. 3.Icahn School of Medicine at Mount SinaiNew YorkUSA
  4. 4.Division of CardiologyIcahn School of Medicine at Mount SinaiNew YorkUSA
  5. 5.Metabolic Support, Division of Endocrinology, Diabetes, and Bone DiseaseIcahn School of Medicine at Mount SinaiNew YorkUSA

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