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Adv Nutr. 2017 Mar 15;8(2):382-394. doi: 10.3945/an.116.014258. Print 2017 Mar.

Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice.

Author information

1
The Israel Dietetic Association, Herzliya, Israel.
2
Department of Nutrition, and.
3
Department of Nutrition, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
4
Maccabi Healthcare Services, Tel-Aviv, Israel.
5
Herzliya Medical Center, Herzliya, Israel.
6
Nutrition Service, Rabin Medical Center, Petach Tiqva, Israel; and.
7
The Israeli Center for Bariatric Surgery of Assia Medical Group, Assuta Medical Center, Tel Aviv, Israel.
8
The Israel Dietetic Association, Herzliya, Israel; tali.sinai@mail.huji.ac.il.
9
School of Nutritional Sciences, The Hebrew University of Jerusalem, Rehovot, Israel.

Abstract

Bariatric surgery is currently the most effective treatment for morbid obesity and its associated metabolic complications. To ensure long-term postoperative success, patients must be prepared to adopt comprehensive lifestyle changes. This review summarizes the current evidence and expert opinions with regard to nutritional care in the perioperative and long-term postoperative periods. A literature search was performed with the use of different lines of searches for narrative reviews. Nutritional recommendations are divided into 3 main sections: 1) presurgery nutritional evaluation and presurgery diet and supplementation; 2) postsurgery diet progression, eating-related behaviors, and nutritional therapy for common gastrointestinal symptoms; and 3) recommendations for lifelong supplementation and advice for nutritional follow-up. We recognize the need for uniform, evidence-based nutritional guidelines for bariatric patients and summarize recommendations with the aim of optimizing long-term success and preventing complications.

KEYWORDS:

bariatric surgery; dietary supplements; eating-related behaviors; nutrition care; obesity

PMID:
28298280
PMCID:
PMC5347111
DOI:
10.3945/an.116.014258
[Indexed for MEDLINE]
Free PMC Article

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