%0 Journal Article
%A Martínez-Ortega, Antonio J.
%A Olveira, Gabriel
%A Pereira-Cunill, José L.
%A Arraiza-Irigoyen, Carmen
%A García-Almeida, José M.
%A Irles Rocamora, José A.
%A Molina-Puerta, María J.
%A Molina Soria, Juan B.
%A Rabat-Restrepo, Juana M.
%A Rebollo-Pérez, María I.
%A Serrano-Aguayo, María P.
%A Tenorio-Jiménez, Carmen
%A Vílches-López, Francisco J.
%A García-Luna, Pedro P.
%T Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery
%D 2020
%U http://hdl.handle.net/10668/3671
%X In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedures. The results were discussed among all members of the GARIN group, and all members answered a Likert scale questionnaire to assess the degree of support for every recommendation. Patients undergoing bariatric surgery should be screened preoperatively for some micronutrient deficiencies and treated accordingly. A VLCD (Very Low-Calorie Diet) should be used for 4-8 weeks prior to surgery. Postoperatively, a liquid diet should be maintained for a month, followed by a semi-solid diet also for one month. Protein requirements (1-1.5 g/kg) should be estimated using adjusted weight. Systematic use of specific multivitamin supplements is encouraged. Calcium citrate and vitamin D supplements should be used at higher doses than are currently recommended. The use of proton-pump inhibitors should be individualised, and vitamin B12 and iron should be supplemented in case of deficit. All patients, especially pregnant women, teenagers, and elderly patients require a multidisciplinary approach and specialised follow-up. These recommendations and suggestions regarding nutrition management when undergoing bariatric surgery and postoperative follow-up have direct clinical applicability.
%K Bariatric surgery
%K Obesity
%K Nutrient deficiency
%K Cirugía bariátrica
%K Obesidad
%K Enfermedades carenciales
%K Dieta
%K Micronutrientes
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