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Published on: November 14, 2020
Bariatric surgery and long-term nutritional issues
Roberta Lupoli1, Erminia Lembo1, Gennaro Saldalamacchia1
1Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
Bariatric surgery offers significant health benefits for obesity, but nutritional deficiencies can arise. Lifelong monitoring and supplementation are crucial to prevent complications and maintain positive outcomes.
Area of Science:
- Medical Science
- Nutritional Science
- Surgical Science
Background:
- Bariatric surgery is a highly effective obesity treatment, reducing cardiovascular risk and mortality.
- Surgical alterations to the gastrointestinal tract increase susceptibility to nutritional deficiencies.
- Obese patients often have pre-existing nutritional deficits, such as vitamin D and iron deficiencies.
Purpose of the Study:
- To review nutritional consequences of bariatric surgery.
- To highlight potential hindrances to the clinical benefits of bariatric procedures.
- To emphasize the importance of pre- and post-operative nutritional management.
Main Methods:
- This is a review article, synthesizing existing evidence on nutritional complications post-bariatric surgery.
- Focuses on macro- and micro-nutrient deficiencies and their clinical impact.
- Examines pre-operative nutritional status and post-operative weight regain.
Main Results:
- Bariatric surgery leads to sustained weight loss and improved quality of life.
- Nutritional complications like anemia, osteoporosis, and protein malnutrition can occur.
- Pre-existing deficiencies and post-operative weight regain are significant concerns.
Conclusions:
- Lifelong nutritional monitoring is essential for bariatric surgery patients.
- Supplementation with multivitamins and minerals is necessary to prevent complications.
- Addressing pre-existing deficits and managing weight regain are critical for long-term success.
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