POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 1 (Nutritional Therapy in the evolution of diet and Dumping Syndrome)


POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 1 (Nutritional Therapy in the evolution of diet and Dumping Syndrome)


Rafaella de Andrade Silva1, Dayse Rafaele Lima dos Santos1, Maria Goretti Pessoa de Araújo Burgos2
Doutora em Nutrição pelo Programa de Pós-Graduação em Nutrição (PPGN), Centro de Ciências da Saúde, Universidade Federal de Pernambuco (UFPE) e Mestre em Nutrição / PPGN-UFPE1. Pós-Doutora pela Universidade do Porto-Portugal, Professora do Departamento de Nutrição, Centro de Ciências da Saúde, UFPE2.


Bariatric surgery is a form of treatment for morbid obesity (Body Mass Index – BMI – ≥ 40 Kg/m2) and, in patients with comorbidities such as diabetes mellitus from a BMI ≥ 35 Kg/m2. Bariatric diet protocols are defined by each surgical team and may vary in the progression of dietary consistency. However, they all share common nutritional goals such as:
– Maximize weight loss and absorption of essential nutrients
– Maintain adequate hydration
– Avoid vomiting and dumping syndrome
Nutritional guidance is based on a diet with minimal calories and high in essential nutrients, ensuring healing and minimizing loss of lean mass. The diet should reduce reflux, early satiety and dumping syndrome, at the same time increasing the expected weight loss for each period and, later, the maintenance of the acquired weight. Women who become pregnant should be monitored for adequate weight gain and specific supplementation, meeting the needs of the mother and fetus.
Diet stage and progression
The progression of diet consistency is based on post-surgical recommendation protocols. To improve the results, patients and family members already receive, in the preoperative period, a structured postoperative diet, with examples of menus and recommendations regarding the type of food, preparations, volume, in addition to basic notions of dietary technique.


Keywords: Nutritional Therapy; diet and Dumping Syndrome;BARIATRIC SURGERY

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How to cite this article:

Rafaella de Andrade Silva, Dayse Rafaele Lima dos Santos, Maria Goretti Pessoa de Araújo Burgos.POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 1 (Nutritional Therapy in the evolution of diet and Dumping Syndrome).American Journal of Surgical Research and Reviews, 2019, 2:7. DOI:10.28933/ajsrr-2019-08-1005


References

1. AACE/TOS/ASMBS. Bariatric Surgery Clinical Practice Guidelines, Endocr Pract.2013; 19 (2): Suppl 1:S1-27.
2. Academy of Nutrition and Dietetics. Nutrition care manual. Bariatric surgery. http://nutritioncaremanual.org/topic.cfm?ncm_category_id51&lv15.Acesso 15-10-2013.
3. Allied Health Sciences Section Ad Hoc Nutri-tion Committee, Aills L,Blankenship J, et al. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis 2008; 4: S73–108.
4. BURGOS, M., LIMA, D., COELHO, P. Nutrição em Cirurgia Bariátrica. Editora Rubio 2011.
5. MECHANICK, J., YOUDIM, A., JONES, D. et al. Clinical practice guidelines for the periopera-tive nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Surg Obes Relat Dis 2013; 9:159–91.
6. BOSNIC, G. Nutritional requirements after bari-atric surgery. Crit Care Nurs Clin North Am. 2014 Jun; 26(2):255-62.


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