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The Optimal Nutritional Programme for Bariatric and Metabolic Surgery

  • Health Services and Programs (R Welbourn and C Borg, Section Editors)
  • Published:
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Abstract

Purpose of Review

Bariatric surgery is the most effective treatment for severe and complex obesity; however, the risk of developing nutrient deficiencies varies based upon the type of surgery, degree of malabsorption, and level of nutrition intervention. There are numerous factors that can impact the nutrition status of a patient during their pre- and postoperative journey. We review the critical components and considerations needed in order to provide optimal nutrition care for patients with bariatric surgery.

Recent Findings

A dietitian, specializing in bariatric surgery, is the best equipped healthcare provider to prepare and support patients in achieving and maintaining optimal nutrition status. We present best practices for both the pre- and postoperative nutrition-related phases of a patient’s journey.

Summary

The dietitian specialist is integral in the assessment and ongoing nutrition care of patients with bariatric surgery. Further consideration should be given to enable access for lifelong follow-up and monitoring.

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  1. Julie M. Parrott, Lillian Craggs-Dino, Silvia Leite Faria and Mary O’Kane contributed equally to this work.

Authors and Affiliations

  1. Metabolic and Bariatric Surgery Program, Penn Medicine, Clinical Practices of the University of Pennsylvania, Philadelphia, PA, 19104, USA

    Julie M. Parrott

  2. Cleveland Clinic Florida, Weston, FL, USA

    Lillian Craggs-Dino

  3. Gastrocirurgia de Brasilia/University of Brasilia, Brasilia, DF, Brazil

    Silvia Leite Faria

  4. Department of nutrition and dietetics, The General Infirmary at Leeds, Great George Street, Leeds, West Yorkshire, LS1 3EX, UK

    Mary O’Kane

Authors
  1. Julie M. Parrott
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  2. Lillian Craggs-Dino
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  3. Silvia Leite Faria
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  4. Mary O’Kane
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Corresponding author

Correspondence to Mary O’Kane.

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Conflict of Interest

Lillian Craggs-Dino is on Scientific Advisory Board for Bariatric Fusion, LCC.

Julie Parrott declares that she has no conflict of interest.

Silvia Leite Faria declares that she has no conflict of interest.

Mary O’Kane declares that she has no conflict of interest.

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All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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Parrott, J.M., Craggs-Dino, L., Faria, S.L. et al. The Optimal Nutritional Programme for Bariatric and Metabolic Surgery. Curr Obes Rep 9, 326–338 (2020). https://doi.org/10.1007/s13679-020-00384-z

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