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Nutrition care in bariatric/metabolic surgery


Authors: Aneta Sadílková;  Kristýna Čmerdová
Authors‘ workplace: 3. interní klinika – klinika endokrinologie a metabolismu 1. LF UK a VFN v Praze
Published in: Čas. Lék. čes. 2022; 161: 114-117
Category: Review Article

Overview

The dietitian is an integral part of the multidisciplinary team of bariatric and metabolic surgery. The nutritional intervention is started already in the period of preparation for the bariatric procedure and focuses on the modification of the patient's current eating habits, weight reduction and understanding of the principles of the postoperative diet. After the bariatric procedure, the nutritional intervention ensures optimal nutrition of the patient within a specific diet regime implemented in the first weeks after the operation. However, nutritional care should continue at regular intervals for a long time after the procedure. It includes, for example, control of the appropriate diet composition, adherence to portion sizes and adequate drinking regime, as well as supplementation recommendations, all in relation to weight development, body composition and laboratory results.

Keywords:

nutritional intervention – dietitian – bariatric surgery – nutrition


Sources
  1. Tabesh MR, Maleklou F, Ejtehadi F, Alizadeh Z. Nutrition, physical activity, and prescription of supplements in pre- and post-bariatric surgery patients: a practical guideline. Obes Surg 2019; 29: 3385–3400.
  2. Mechanick JI, Apovian C, Brethauer S et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: Executive summary. Endocr Pract 2019; 25: 1346–1359.
  3. Parrott J, Frank L, Rabena R et al. American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis 2017; 13: 727–741.
  4. Andromalos L, Crowley N, Brown J et al. Nutrition care in bariatric surgery: an academy evidence analysis center systematic review. J Acad Nutr Diet 2019; 119: 678–686.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management

Article was published in

Journal of Czech Physicians

Issue 3-4

2022 Issue 3-4

Most read in this issue
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