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Patient perspectives on post-bariatric surgery nutritional supplementation.

Alexandra L Mathews1, Rohan M Shah2, Patrick J Sweigert1

  • 1Department of Surgery, Loyola University Medical Center, Maywood, IL, USA.

Surgical Endoscopy
|June 13, 2023
PubMed
Summary

Post-bariatric surgery patients often struggle with daily vitamin compliance due to forgetting, side effects, or taste. Implementing reminder strategies can improve adherence and reduce nutrient deficiencies.

Keywords:
Bariatric surgeryComplianceNutrient deficienciesVitamin supplementation

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Area of Science:

  • Bariatric surgery outcomes
  • Nutritional science
  • Patient compliance studies

Background:

  • Bariatric procedures increase risk of long-term metabolic complications from nutrient deficiencies.
  • Routine vitamin and mineral supplementation is key for prevention.
  • Patient-reported barriers to daily compliance are not well understood.

Purpose of the Study:

  • To investigate patient-reported barriers to daily vitamin and mineral supplementation compliance after bariatric surgery.
  • To identify factors influencing adherence to supplementation regimens.
  • To explore patient-reported strategies for improving compliance.

Main Methods:

  • An 11-point outpatient survey was administered to post-bariatric surgery patients (laparoscopic sleeve gastrectomy [SG] or gastric bypass [GB]).
  • Patients ranged from 1 month to 15 years post-surgery.
  • Descriptive statistics were used to analyze survey responses.

Main Results:

  • 98% of patients reported insurance did not cover supplement costs.
  • 95% reported current vitamin use, with 87% daily compliance.
  • Forgetting (54%) was the primary reason for non-compliance, followed by side effects (11%) and taste (11%).

Conclusions:

  • Daily compliance with vitamin supplementation post-bariatric surgery is not significantly affected by time period or surgical procedure.
  • Forgetting, side effects, and taste are key barriers to compliance.
  • Utilizing patient-reported reminder strategies may enhance compliance and reduce nutritional deficiencies.