Systematization of Nutritional Care In Endoscopic Treatment for Obesity

Obes Surg. 2019 Mar;29(3):1074-1080. doi: 10.1007/s11695-018-3616-y.

Abstract

Purpose: Propose the systematization of nutritional care in the endoscopic treatment of obesity.

Method: This is a bibliographical review, since the initial proposal was a systematic review. This method became unfeasible due to the inexistence of studies that address this theme. Thus, a bibliographic survey was carried out, considering the endoscopic treatment as a restrictive treatment, as well as the information referring to case reports and multicentric studies.

Results: Nutrition participation involves nutritional assessment and diagnosis, dietary planning pertinent to the adequate evolution of food consistency, as well as the use of food supplements compatible with the Gastric Sleeve due to food restriction. The Bariatric Plate Model (BPM) can be useful in the nutritional education of the patient after gastric endosuture, associated with water consumption and the performance of scheduled physical exercise, as well as periodic monitoring with the multiprofessional team.

Conclusions: Specialized nutritional care is necessary, through a protocol of nutritional assistance defined after gastric endosuture, in order to achieve long-term weight loss and maintenance goals. The BPM can be an excellent form of nutritional education, observing protein intake as a macronutrient base.

Keywords: Bariatric plate model; Gastric endosuture; Gastric sleeve; Intragastric ballon; Nutritional education; Obesity; Recurrence of weight.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery / methods*
  • Bariatric Surgery / standards
  • Combined Modality Therapy
  • Diet
  • Dietary Supplements
  • Endoscopy / methods*
  • Endoscopy / standards
  • Exercise
  • Humans
  • Nutrition Therapy / methods*
  • Nutrition Therapy / standards
  • Obesity / diet therapy
  • Obesity / surgery
  • Obesity, Morbid / diet therapy*
  • Obesity, Morbid / surgery*
  • Reference Standards
  • Weight Loss