Nutritional Deficiencies Before and After Bariatric Surgery: Prevention and Treatment

doi:10.1007/s13668-022-00400-9

Review

. 2022 Jun;11(2):95-101.

doi: 10.1007/s13668-022-00400-9. Epub 2022 Feb 16.

Nutritional Deficiencies Before and After Bariatric Surgery: Prevention and Treatment

Georgia Argyrakopoulou¹, Sofia K Konstantinidou^{2

3}, Maria Dalamaga⁴, Alexander Kokkinos³

Affiliations

¹ Diabetes and Obesity Unit, Athens Medical Center, Athens, 15125, Greece. gargyrakopoulou@gmail.com.
² Diabetes and Obesity Unit, Athens Medical Center, Athens, 15125, Greece.
³ First Department of Propaedeutic Internal Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.
⁴ Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, 11527, Greece.

PMID: 35174473
DOI: 10.1007/s13668-022-00400-9

Review

Nutritional Deficiencies Before and After Bariatric Surgery: Prevention and Treatment

Georgia Argyrakopoulou et al. Curr Nutr Rep. 2022 Jun.

. 2022 Jun;11(2):95-101.

doi: 10.1007/s13668-022-00400-9. Epub 2022 Feb 16.

Authors

Georgia Argyrakopoulou¹, Sofia K Konstantinidou^{2

3}, Maria Dalamaga⁴, Alexander Kokkinos³

Affiliations

¹ Diabetes and Obesity Unit, Athens Medical Center, Athens, 15125, Greece. gargyrakopoulou@gmail.com.
² Diabetes and Obesity Unit, Athens Medical Center, Athens, 15125, Greece.
³ First Department of Propaedeutic Internal Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.
⁴ Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, 11527, Greece.

PMID: 35174473
DOI: 10.1007/s13668-022-00400-9

Abstract

Purpose of review: Bariatric surgery has the unique ability to drive substantial and sustainable weight loss in people living with obesity. Non-reversibility of these surgical techniques provides lifelong benefits but entails the need for continuous medical follow-up. The purpose of the current paper is to review and summarize current data on nutritional deficiencies in patients before and after bariatric surgery.

Recent findings: The cornerstone of preventing the emergence of disorders related to nutritional deficiencies is preoperative screening and correct supplementation since they may be exacerbated postoperatively. Following guidelines in conjunction to a lifelong personalized medical approach is of high importance. Bariatric surgery is a well-studied successful and durable means of weight loss that may lead to nutritional deficiencies. There is, thus, a medical need for careful monitoring and treatment of micro- and macronutrient deficiencies by an experienced multidisciplinary team.

Keywords: Bariatric surgery; Macronutrients; Micronutrients; Nutritional deficiencies.

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References

1. Cox AJ, West NP, Cripps AW. Obesity, inflammation, and the gut microbiota. Lancet Diabetes Endocrinol. 2015;3:207–15. - DOI
1. Tsilingiris D, Liatis S, Dalamaga M, Kokkinos A. The fight against obesity escalates: new drugs on the horizon and metabolic implications. Curr Obes Reports. 2020;9:136–49. - DOI
1. Kokkinos A, Tsilingiris D, le Roux CW, Rubino F, Mantzoros CS. Will medications that mimic gut hormones or target their receptors eventually replace bariatric surgery? Metabolism. 2019;100:153960.
1. Stein J, Stier C, Raab H, Weiner R. Review article: The nutritional and pharmacological consequences of obesity surgery. Aliment Pharm Therap. 2014;40:582–609. - DOI
1. Frame-Peterson LA, Megill RD, Carobrese S, Schweitzer M. Nutrient deficiencies are common prior to bariatric surgery. Nutr Clin Pract. 2017;32:463–9. - DOI

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[1] Cox AJ, West NP, Cripps AW. Obesity, inflammation, and the gut microbiota. Lancet Diabetes Endocrinol. 2015;3:207–15. - DOI

[2] Cox AJ, West NP, Cripps AW. Obesity, inflammation, and the gut microbiota. Lancet Diabetes Endocrinol. 2015;3:207–15. - DOI

[3] Tsilingiris D, Liatis S, Dalamaga M, Kokkinos A. The fight against obesity escalates: new drugs on the horizon and metabolic implications. Curr Obes Reports. 2020;9:136–49. - DOI

[4] Tsilingiris D, Liatis S, Dalamaga M, Kokkinos A. The fight against obesity escalates: new drugs on the horizon and metabolic implications. Curr Obes Reports. 2020;9:136–49. - DOI

[5] Kokkinos A, Tsilingiris D, le Roux CW, Rubino F, Mantzoros CS. Will medications that mimic gut hormones or target their receptors eventually replace bariatric surgery? Metabolism. 2019;100:153960.

[6] Kokkinos A, Tsilingiris D, le Roux CW, Rubino F, Mantzoros CS. Will medications that mimic gut hormones or target their receptors eventually replace bariatric surgery? Metabolism. 2019;100:153960.

[7] Stein J, Stier C, Raab H, Weiner R. Review article: The nutritional and pharmacological consequences of obesity surgery. Aliment Pharm Therap. 2014;40:582–609. - DOI

[8] Stein J, Stier C, Raab H, Weiner R. Review article: The nutritional and pharmacological consequences of obesity surgery. Aliment Pharm Therap. 2014;40:582–609. - DOI

[9] Frame-Peterson LA, Megill RD, Carobrese S, Schweitzer M. Nutrient deficiencies are common prior to bariatric surgery. Nutr Clin Pract. 2017;32:463–9. - DOI

[10] Frame-Peterson LA, Megill RD, Carobrese S, Schweitzer M. Nutrient deficiencies are common prior to bariatric surgery. Nutr Clin Pract. 2017;32:463–9. - DOI

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Nutritional Deficiencies Before and After Bariatric Surgery: Prevention and Treatment

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Nutritional Deficiencies Before and After Bariatric Surgery: Prevention and Treatment

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