Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient: An Endocrine Society Clinical Practice Guideline

作者: David Heber , Frank L. Greenway , Lee M. Kaplan , Edward Livingston , Javier Salvador

DOI: 10.1210/JC.2009-2128

关键词: Body mass indexGuidelineInternal medicineObesityMalnutritionEndocrinologyPatient educationWeight lossEndocrine systemMedicineDiabetes mellitus

摘要: Objective: We sought to provide guidelines for the nutritional and endocrine management of adults after bariatric surgery, including those with diabetes mellitus. The focus is on immediate postoperative period long-term prevent complications, weight regain, progression obesity-associated comorbidities. treatment specific disorders only summarized. Participants: Task Force was composed a chair, five additional experts, methodologist, medical writer. It received no corporate funding or remuneration. Conclusions: Bariatric surgery not guarantee successful loss maintenance. Increasingly, patients regain weight, especially undergoing restrictive surgeries such as laparoscopic banding rather than malabsorptive Roux-en-Y bypass. Active patient education clinical detect deficiencies are recommended all surgery. Management potent...

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