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Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery

In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedur...

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Autores principales: Martínez-Ortega, Antonio J., Olveira, Gabriel, Pereira-Cunill, José L., Arraiza-Irigoyen, Carmen, García-Almeida, José M., Irles Rocamora, José A., Molina-Puerta, María J., Molina Soria, Juan B., Rabat-Restrepo, Juana M., Rebollo-Pérez, María I., Serrano-Aguayo, María P., Tenorio-Jiménez, Carmen, Vílches-López, Francisco J., García-Luna, Pedro P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400832/
https://www.ncbi.nlm.nih.gov/pubmed/32640531
http://dx.doi.org/10.3390/nu12072002
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author Martínez-Ortega, Antonio J.
Olveira, Gabriel
Pereira-Cunill, José L.
Arraiza-Irigoyen, Carmen
García-Almeida, José M.
Irles Rocamora, José A.
Molina-Puerta, María J.
Molina Soria, Juan B.
Rabat-Restrepo, Juana M.
Rebollo-Pérez, María I.
Serrano-Aguayo, María P.
Tenorio-Jiménez, Carmen
Vílches-López, Francisco J.
García-Luna, Pedro P.
author_facet Martínez-Ortega, Antonio J.
Olveira, Gabriel
Pereira-Cunill, José L.
Arraiza-Irigoyen, Carmen
García-Almeida, José M.
Irles Rocamora, José A.
Molina-Puerta, María J.
Molina Soria, Juan B.
Rabat-Restrepo, Juana M.
Rebollo-Pérez, María I.
Serrano-Aguayo, María P.
Tenorio-Jiménez, Carmen
Vílches-López, Francisco J.
García-Luna, Pedro P.
author_sort Martínez-Ortega, Antonio J.
collection PubMed
description In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedures. The results were discussed among all members of the GARIN group, and all members answered a Likert scale questionnaire to assess the degree of support for every recommendation. Patients undergoing bariatric surgery should be screened preoperatively for some micronutrient deficiencies and treated accordingly. A VLCD (Very Low-Calorie Diet) should be used for 4–8 weeks prior to surgery. Postoperatively, a liquid diet should be maintained for a month, followed by a semi-solid diet also for one month. Protein requirements (1–1.5 g/kg) should be estimated using adjusted weight. Systematic use of specific multivitamin supplements is encouraged. Calcium citrate and vitamin D supplements should be used at higher doses than are currently recommended. The use of proton-pump inhibitors should be individualised, and vitamin B12 and iron should be supplemented in case of deficit. All patients, especially pregnant women, teenagers, and elderly patients require a multidisciplinary approach and specialised follow-up. These recommendations and suggestions regarding nutrition management when undergoing bariatric surgery and postoperative follow-up have direct clinical applicability.
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spelling pubmed-74008322020-08-07 Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery Martínez-Ortega, Antonio J. Olveira, Gabriel Pereira-Cunill, José L. Arraiza-Irigoyen, Carmen García-Almeida, José M. Irles Rocamora, José A. Molina-Puerta, María J. Molina Soria, Juan B. Rabat-Restrepo, Juana M. Rebollo-Pérez, María I. Serrano-Aguayo, María P. Tenorio-Jiménez, Carmen Vílches-López, Francisco J. García-Luna, Pedro P. Nutrients Review In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedures. The results were discussed among all members of the GARIN group, and all members answered a Likert scale questionnaire to assess the degree of support for every recommendation. Patients undergoing bariatric surgery should be screened preoperatively for some micronutrient deficiencies and treated accordingly. A VLCD (Very Low-Calorie Diet) should be used for 4–8 weeks prior to surgery. Postoperatively, a liquid diet should be maintained for a month, followed by a semi-solid diet also for one month. Protein requirements (1–1.5 g/kg) should be estimated using adjusted weight. Systematic use of specific multivitamin supplements is encouraged. Calcium citrate and vitamin D supplements should be used at higher doses than are currently recommended. The use of proton-pump inhibitors should be individualised, and vitamin B12 and iron should be supplemented in case of deficit. All patients, especially pregnant women, teenagers, and elderly patients require a multidisciplinary approach and specialised follow-up. These recommendations and suggestions regarding nutrition management when undergoing bariatric surgery and postoperative follow-up have direct clinical applicability. MDPI 2020-07-06 /pmc/articles/PMC7400832/ /pubmed/32640531 http://dx.doi.org/10.3390/nu12072002 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Martínez-Ortega, Antonio J.
Olveira, Gabriel
Pereira-Cunill, José L.
Arraiza-Irigoyen, Carmen
García-Almeida, José M.
Irles Rocamora, José A.
Molina-Puerta, María J.
Molina Soria, Juan B.
Rabat-Restrepo, Juana M.
Rebollo-Pérez, María I.
Serrano-Aguayo, María P.
Tenorio-Jiménez, Carmen
Vílches-López, Francisco J.
García-Luna, Pedro P.
Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
title Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
title_full Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
title_fullStr Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
title_full_unstemmed Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
title_short Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
title_sort recommendations based on evidence by the andalusian group for nutrition reflection and investigation (garin) for the pre- and postoperative management of patients undergoing obesity surgery
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400832/
https://www.ncbi.nlm.nih.gov/pubmed/32640531
http://dx.doi.org/10.3390/nu12072002
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