| Autor: |
Martínez-Ortega, Antonio J., Olveira, Gabriel, Pereira-Cunill, José L., Arraiza-Irigoyen, Carmen, García-Almeida, José M., Irles Rocamora, José A., Molina-Puerta, María J., Molina Soria, Juan B., Rabat-Restrepo, Juana M., Rebollo-Pérez, María I., Serrano-Aguayo, María P., Tenorio-Jiménez, Carmen, Vílches-López, Francisco J., García-Luna, Pedro P. |
| Zdroj: |
Nutrients; Jul2020, Vol. 12 Issue 7, p2002, 1p |
| Abstrakt: |
In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedures. The results were discussed among all members of the GARIN group, and all members answered a Likert scale questionnaire to assess the degree of support for every recommendation. Patients undergoing bariatric surgery should be screened preoperatively for some micronutrient deficiencies and treated accordingly. A VLCD (Very Low-Calorie Diet) should be used for 4–8 weeks prior to surgery. Postoperatively, a liquid diet should be maintained for a month, followed by a semi-solid diet also for one month. Protein requirements (1–1.5 g/kg) should be estimated using adjusted weight. Systematic use of specific multivitamin supplements is encouraged. Calcium citrate and vitamin D supplements should be used at higher doses than are currently recommended. The use of proton-pump inhibitors should be individualised, and vitamin B12 and iron should be supplemented in case of deficit. All patients, especially pregnant women, teenagers, and elderly patients require a multidisciplinary approach and specialised follow-up. These recommendations and suggestions regarding nutrition management when undergoing bariatric surgery and postoperative follow-up have direct clinical applicability. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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