RT Journal Article
T1 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
A1 Martínez-Ortega, Antonio J.
A1 Olveira, Gabriel
A1 Pereira-Cunill, José L.
A1 Arraiza-Irigoyen, Carmen
A1 García-Almeida, José M.
A1 Irles Rocamora, José A.
A1 Molina-Puerta, María J.
A1 Molina Soria, Juan B.
A1 Rabat-Restrepo, Juana M.
A1 Rebollo-Pérez, María I.
A1 Serrano-Aguayo, María P.
A1 Tenorio-Jiménez, Carmen
A1 Vílches-López, Francisco J.
A1 García-Luna, Pedro P.
K1 Bariatric surgery
K1 Obesity
K1 Nutrient deficiency
K1 Cirugía bariátrica
K1 Obesidad
K1 Enfermedades carenciales
K1 Dieta
K1 Micronutrientes
AB 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.
PB MDPI
YR 2020
FD 2020-07-06
LK http://hdl.handle.net/10668/3671
UL http://hdl.handle.net/10668/3671
LA en
NO Martínez-Ortega AJ, Olveira G, Pereira-Cunill JL, Arraiza-Irigoyen C, García-Almeida JM, Irles Rocamora JA, et al. 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. Nutrients. 2020 Jul 6;12(7):2002
DS RISalud
RD Apr 7, 2025