Current preoperative strategies applied in the Dutch bariatric centers: A national survey.

Autor: Kolen AM; Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.; Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands., Romeijn MM; Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.; Research School NUTRIM, Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Holthuijsen DDB; Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.; Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands., Janssen L; Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands., Greve JWM; Research School NUTRIM, Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.; Department of Surgery, Zuyderland Medical Center, Heerlen, The Netherlands., Leclercq WKG; Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands., van Dielen FMH; Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
Jazyk: angličtina
Zdroj: Clinical obesity [Clin Obes] 2021 Aug; Vol. 11 (4), pp. e12461. Date of Electronic Publication: 2021 May 24.
DOI: 10.1111/cob.12461
Abstrakt: There is no consensus about the optimal management of patients undergoing bariatric surgery. This study aimed to identify current weight loss goals prior to bariatric surgery, as well as aimed to explore preoperative strategies related to diet, nutritional supplements and physical activity. An online survey was distributed among bariatric surgeons and dietitians in all 18 Dutch bariatric centers. This survey included the following four domains: weight loss, diet, nutritional supplements and physical activity. For the analyses one answer per center was used, either the most common answer or the answer given by the most expert responder. All 18 centers reported at least one response. Preoperative weight loss was requested in 28% of the centers, whereas 61% desired a stable weight or weight loss, and 11% had no requests. A preoperative diet was routinely recommended in 78% of the centers and on indication (ie, depending on baseline weight and/or comorbidity status) in 22%. The most frequently prescribed diet was a low-energy diet (800-1500 kcal/day) in 44% of the centers. Nutritional supplements were recommended in 78% of the centers. Physical activity with low intensity was recommended in 83% of the centers, while physical exercise training with mid- to high-intensity was recommended in 72%. Inconsistent responses within centers were observed in 56% of the questions. The current bariatric practice within the Netherlands shows high variability and inconsistencies in preoperative management. Consensus-building and standardization of strategies should be promoted in the future.
(© 2021 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.)
Databáze: MEDLINE
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