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Metabolic and bariatric surgery: Postoperative management.
J Skelton1, A Murphy2, M Conradie-Smit3
1Busamed Gateway Private Hospital, Umhlanga, South Africa.
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|December 11, 2025
Summary
Healthcare providers should guide patients post-bariatric surgery (MBS) to access behavioral interventions and allied health services. Comprehensive care plans and regular follow-ups are crucial for long-term patient success and management.
Area of Science:
- Bariatric Medicine
- Metabolic and Bariatric Surgery (MBS)
- Post-Surgical Care
Background:
- Effective post-bariatric surgery (MBS) care is essential for patient outcomes.
- Multidisciplinary support and regular monitoring are key components of successful MBS recovery.
Purpose of the Study:
- To outline recommendations for the ongoing care of patients following metabolic and bariatric surgery (MBS).
- To emphasize the importance of a comprehensive, multidisciplinary approach to post-MBS management.
Main Methods:
- Guideline development based on evidence levels (Level 2a, Grade B) and consensus (Level 4, Grade D).
- Synthesis of recommendations for healthcare providers (HCPs) and MBS centers.
Main Results:
- HCPs should encourage patient participation in behavioral interventions and allied health services.
- MBS centers must provide comprehensive discharge plans and regular follow-up, including nutritional and psychological support.
- Annual reviews of nutritional intake, weight, comorbidities, and laboratory tests are recommended.
Conclusions:
- Continued engagement with behavioral interventions and allied health services is vital for patients post-MBS.
- Structured, long-term follow-up by healthcare providers and MBS centers ensures optimal patient health and management of potential complications.
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