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Audit of nutritional and dietary outcomes of bariatric surgery patients.
MedLine Citation:
PMID:  20406412     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Bariatric surgery is the most effective means of achieving sustainable weight loss for the morbidly obese but resultant gastrointestinal functional changes and altered diet may lead to a number of eating and nutritional problems. This audit was conducted to evaluate Guernsey outcomes in relation to UK national standards and to determine the adequacy of current dietetic provision. A postal questionnaire was sent to 177 patients. Sixty-eight responded (48 gastric bypass, 15 banding and five other procedures). Mean body mass index preoperatively was 44.2 (five had body mass index <35). Five respondents (7%) had received preoperative and 26 post-operative dietary advice. Only 12 (18%) received any dietetic follow-up. Only one patient had any psychological support. Mean maximal weight loss and regain was 42.7 kg and 4.5 kg, respectively. Micronutrient supplementation and monitoring was variable. Deficiencies of B(12) (44%), iron (25%), vitamin D (10.2%) and folate (6.2%) were recorded. Problems with food intolerances were common and often protracted. The majority of respondents expressed satisfaction with the procedure, but many recognized that it had not solved their food-related issues. There was dissatisfaction with dietetic intervention. Overall, current treatment was shown to fall short of UK standards. A number of recommendations have been made to improve future outcomes, including re-audit and improved dietetic service provision.
Authors:
L Harbottle
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity reviews : an official journal of the International Association for the Study of Obesity     Volume:  12     ISSN:  1467-789X     ISO Abbreviation:  Obes Rev     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100897395     Medline TA:  Obes Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  198-204     Citation Subset:  IM    
Copyright Information:
© 2010 The Author. obesity reviews © 2010 International Association for the Study of Obesity.
Affiliation:
Department of Dietetics, Princess Elizabeth Hospital, St Martins, Guernsey, Channel Islands.
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