Recognizing postoperative nutritional complications of bariatric surgery in the primary care patient: a narrative review
| Autor: | Tamer Shtayyeh, Carlos Martinez, Richard R. Terry, Carly Chamberlain |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Complementary and Manual Therapy
medicine.medical_specialty Anemia Gastric Bypass MEDLINE Bariatric Surgery 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Weight loss medicine Vitamin D and neurology Humans Micronutrients 030212 general & internal medicine Modalities Primary Health Care business.industry Stomach medicine.disease Micronutrient Obesity Obesity Morbid Surgery medicine.anatomical_structure Complementary and alternative medicine medicine.symptom business |
| Zdroj: | Journal of Osteopathic Medicine. 121:105-112 |
| ISSN: | 2702-3648 |
| DOI: | 10.7556/jaoa.2020.135 |
| Popis: | Bariatric surgery is an effective treatment for patients with morbid obesity. However, as safe and common as bariatric procedures have become, multiple complications can still result. These complications vary depending on the type of procedure performed (malabsorptive or restrictive) and are often nutritional derangements from the altered malabsorptive surface of the gastrointestinal tract and decreased capacity of the stomach. Deficiencies in vitamin D after malabsorptive procedures such as the Roux-en-Y gastric bypass can result in subsequent hypocalcemia and bone demineralization, and anemias can also present after surgery from inadequate vitamin B12and iron absorption. Because of the prevalence of these deficiencies, baseline micronutrient testing and postoperative screening are recommended in many cases. Additionally, supplemental treatment often requires higher doses than those recommended for healthy adults. The purpose of this narrative review is to outline the various nutrient deficiencies that can result from bariatric procedures and report previously-published recommendations for screening and medical treatment of patients with these deficiencies. This review is directed toward primary care practitioners because of their unique position in delivering continuity of care and the frequency with which they will encounter patients who have undergone bariatric surgery and are seeking counseling regarding weight loss modalities. |
| Databáze: | OpenAIRE |
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