POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 2 (Recommendation of macro and micronutrients and Nutritional Therapy)


POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 2 (Recommendation of macro and micronutrients and Nutritional Therapy)


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.


In order to minimize nutritional complications and create conditions for greater long-term success, it is important to predict, prevent and correct nutritional changes in pre-post surgery, with careful monitoring and nutritional supplementation according to guidelines. Priorities are the nutritional education of the patient/family, aiming at good eating habits, within their lifestyle and socioeconomic and cultural conditions.
Nutrients
Regular follow-up with a specialized nutritionist is essential to facilitate adequate weight loss and to assess the intake of micronutrients that may be inadequate due to the gastric restriction of the gastric band (BG) and sleeve gastrectomy (GV) techniques; of gastric restriction and dysabsorption in gastric bypass (BGYR) and minor gastric restriction and major dysabsorption in biliopancreatic bypass (BPD) and duodenal switch (BPD-DS). The latter 2 carry greater risk for protein malnutrition and micronutrient deficiencies. In all techniques except BG, there are functional and hormonal changes involved in the control of hunger and appetite, food intake, satiety, metabolic glucose change and changes in intestinal hormones such as ghrelin, GLP-1 and PYY.


Keywords: POST-BARIATRIC SURGERY; NUTRITIONAL REQUIREMENTS

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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 2 (Recommendation of macro and micronutrients and Nutritional Therapy).American Journal of Surgical Research and Reviews, 2019, 2:8. DOI:10.28933/ajsrr-2019-08-1006


References

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