Review article: the nutritional and pharmacological consequences of obesity surgery

@article{Stein2014ReviewAT,
  title={Review article: the nutritional and pharmacological consequences of obesity surgery},
  author={J. Stein and C. Stier and H. Raab and R. Weiner},
  journal={Alimentary Pharmacology \& Therapeutics},
  year={2014},
  volume={40}
}
Obesity surgery is acknowledged as a highly effective therapy for morbidly obese patients. Beneficial short‐term effects on common comorbidities are practically undisputed, but a growing data pool from long‐term follow‐up reveals increasing evidence of potentially severe nutritional and pharmacological consequences. 

Paper Mentions

Interventional Clinical Trial
Background: Nutrition challenges follow bariatric surgery can intensify during pregnancy and may have a crucial effect on fetus. To the best of the investigators knowledge, the effect… Expand
ConditionsPregnancy
InterventionBehavioral
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References

SHOWING 1-10 OF 308 REFERENCES
Risks and benefits of bariatric surgery: current evidence.
TLDR
Patients typically lose more than 50% of their excess weight after bariatric surgery, reducing cardiovascular risk and improving life expectancy and obesity-related diseases markedly improve. Expand
A systematic review of drug absorption following bariatric surgery and its theoretical implications
  • R. Padwal, D. Brocks, A. Sharma
  • Medicine
  • Obesity reviews : an official journal of the International Association for the Study of Obesity
  • 2010
Demand for bariatric surgery has risen exponentially and bariatric patients often have multiple indications for post‐operative pharmacotherapy. The purpose of this study was to systematically reviewExpand
Adherence to vitamin supplementation following adolescent bariatric surgery
TLDR
Objective: Adolescents with extreme obesity, who have undergone bariatric surgery, must adhere to many lifestyle and nutritional recommendations, including multivitamin therapy, including multi-vitamins following adolescentbariatric surgery. Expand
Vitamin D insufficiency prior to bariatric surgery: risk factors and a pilot treatment study
Objective  To assess vitamin D status and the influences of race, sun exposure and dietary vitamin D intake on vitamin D levels, and to evaluate two vitamin D repletion regimens in extremely obeseExpand
Postoperative metabolic and nutritional complications of bariatric surgery.
TLDR
Patients who have undergone bariatric surgery require indefinite, regular follow-up care by physicians who need to follow laboratory parameters of macronutrient as well as micronutrients malnutrition. Expand
Pharmacotherapy Prevention and Management of Nutritional Deficiencies Post Roux-en-Y Gastric Bypass
TLDR
This article will encompass literature reviewing the pharmacotherapy approach to prevention and management of nutritional deficiencies since the American Society of Metabolic and Bariatric Surgery guidelines were published in 2008. Expand
Metabolic management following bariatric surgery.
TLDR
Consideration of these nutritional, metabolic, and hormonal changes allows for optimal medical management following bariatric surgery, and the postoperative diet should be advanced carefully, according to protocol. Expand
Vitamin A Deficiency in Pregnancy: Perspectives after Bariatric Surgery
TLDR
The clinical consequences of vitamin A deficiency in pregnant women after bariatric surgery and the damage to the binomial mother–child resulting from VAD in this relationship are described. Expand
Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline.
TLDR
All patients should receive care from a multidisciplinary team including an experienced primary care physician, endocrinologist, or gastroenterologist and consider enrolling postoperatively in a comprehensive program for nutrition and lifestyle management, to enhance the transition to life after bariatric surgery. Expand
Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation.
BACKGROUND Despite the increasing use of Roux-en-Y gastric bypass (RYGBP) in the treatment of morbid obesity, data about postoperative nutritional deficiencies and their treatment remain scarce. Expand
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