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Considerations in nutrition support for long-term bariatric surgery care
Colleen Tewksbury1,2, Larissa Mahoney2, Raquel Shover3
1Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Managing nutrition after bariatric surgery is crucial. Some patients need specialized nutrition support like parenteral nutrition or enteral nutrition due to complications.
Area of Science:
- Bariatric surgery outcomes
- Gastroenterology
- Nutritional science
Background:
- Bariatric surgery effectively treats severe obesity and comorbidities.
- Long-term nutrition management is challenging for some post-surgery patients.
- Complications like malabsorption may necessitate specialized nutrition support.
Purpose of the Study:
- To review best practices for nutrition support in post-bariatric surgery patients.
- To outline assessment, implementation, and monitoring of parenteral nutrition (PN) or enteral nutrition (EN).
- To emphasize individualized care and psychosocial factors.
Main Methods:
- Narrative review of current literature and guidelines.
- Focus on best practices for PN/EN in post-bariatric patients.
- Inclusion of psychosocial aspects and future directions.
Main Results:
- Specialized nutrition support (PN/EN) is sometimes required post-bariatric surgery.
- Individualized care plans are essential for managing complex nutritional needs.
- Psychosocial factors, including weight stigma, require attention.
Conclusions:
- Best practices for PN/EN in post-bariatric patients involve comprehensive assessment and monitoring.
- Personalized medicine and technology can optimize outcomes.
- Addressing psychosocial factors is key to successful long-term management.
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