Nutritional Challenges and Treatment After Bariatric Surgery

Violeta Moize, Blandine Laferrère, Sue Shapses

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Bariatric surgery is an important weight loss tool in individuals with severe obesity. It is currently the most effective long-term weight loss treatment that lowers obesity-related comorbidities. It also has significant physiological and nutritional consequences that can result in gastrointestinal complications and micronutrient deficiencies. After gastric bypass, clinical events that negatively affect nutritional status include malabsorption, dumping syndrome, kidney stones, altered intestinal bile acid availability, bowel obstruction, ulcers, gastroesophageal reflux, and bacterial overgrowth. Risk factors for poor nutritional status and excessive loss of lean body mass and bone include reduced dietary quality and inadequate intake, altered nutrient absorption, and poor patient compliance with nutrient supplementation. There are unique concerns in adolescents, older individuals, and individuals who become pregnant postoperatively. With careful management, health-care professionals can assist with long-term weight loss success and minimize the risk of acute and long-term nutrition complications after bariatric surgery.

Original languageEnglish (US)
Pages (from-to)289-312
Number of pages24
JournalAnnual Review of Nutrition
Volume44
Issue number1
DOIs
StatePublished - Aug 29 2024

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Keywords

  • bariatric surgery
  • gastrointestinal
  • nutrition therapy
  • nutritional deficiencies
  • obesity
  • weight loss

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