Systematization of Nutritional Care In Endoscopic Treatment for Obesity

  • Maria Paula Carlini CambiEmail author
  • Giorgio A. P. Baretta
  • Maurício Spagnol
  • Roberto Zilio
  • Carina Rossoni
How I Do It



Propose the systematization of nutritional care in the endoscopic treatment of obesity.


This is a bibliographical review, since the initial proposal was a systematic review. This method became unfeasible due to the inexistence of studies that address this theme. Thus, a bibliographic survey was carried out, considering the endoscopic treatment as a restrictive treatment, as well as the information referring to case reports and multicentric studies.


Nutrition participation involves nutritional assessment and diagnosis, dietary planning pertinent to the adequate evolution of food consistency, as well as the use of food supplements compatible with the Gastric Sleeve due to food restriction. The Bariatric Plate Model (BPM) can be useful in the nutritional education of the patient after gastric endosuture, associated with water consumption and the performance of scheduled physical exercise, as well as periodic monitoring with the multiprofessional team.


Specialized nutritional care is necessary, through a protocol of nutritional assistance defined after gastric endosuture, in order to achieve long-term weight loss and maintenance goals. The BPM can be an excellent form of nutritional education, observing protein intake as a macronutrient base.


Obesity Nutritional education Gastric sleeve Gastric endosuture Intragastric ballon Recurrence of weight Bariatric plate model 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Statement

This article does not contain any studies with human participants or animals performed by any of the authors. Informed consent statement does not apply.


  1. 1.
    Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial – a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273:219–34.CrossRefGoogle Scholar
  2. 2.
    Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. ABESO - Diretrizes Brasileiras de Obesidade 2016. 4 ed. São Paulo SP.Google Scholar
  3. 3.
    Gontrand López-Nava-Breviere, Inmaculada Bautista-Castaño, Juan Pedro Fernández-Corbelle and Marta Trell Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management. Rev Esp Enferm Dig (Madrid) Vol. 108, No. 4, pp. 201–206, 2016.Google Scholar
  4. 4.
    Vargas EJ, Bazerbachi F, Rizk M, et al. Transoral outlet reduction with full thickness endoscopic suturing for weight regain after gastric bypass: a large multicenter international experience and meta-analysis. Surg Endosc. 2018;32:252–9.CrossRefGoogle Scholar
  5. 5.
    Lopez-Nava G et al. Factors predictive of success with endoscopic sleeve gastroplasty. Endosc Int Open. 2016;04:E222–7.CrossRefGoogle Scholar
  6. 6.
    Lopez-Nava, M P Galvão, Bautista-Castaño, J P Fernandez-Corbelle, M Trell, N Lopez. Gastroplastia sleeve endoscópica para tratamento da obesidade: dois anos de experiência. Arq Bras Cir Dig 2017; 30(1):18–20.Google Scholar
  7. 7.
    Yumuk V, Tsigos C, Fried M, et al. Obesity management task force of the European Association for the study of obesity: European guidelines for obesity management in adults. Obes Facts. 2015;8:402–24.CrossRefGoogle Scholar
  8. 8.
    Galvão-Neto MP, Eduardo Grecco E, Souza TF, et al. Gastroplastia vertical endoscópica – terapêutica minimamente invasiva para tratamento promário da obesidade. ABCD Arq Bras Cir Dig. 2016;29(Supl.1):95–7.CrossRefGoogle Scholar
  9. 9.
    Apollo Endosurgery, Inc. Overstitch Flexible Endoscopic Suture System®. Available in: Accessed December 7, 2019
  10. 10.
    Moizé VL, PI-Sunyer X, Mochari H, et al. Nutritional Pyramid for Post-gastric Bypass Patients. Obes Surg. 2010;20:1133–41.Google Scholar
  11. 11.
    Camelon KM, Hådell K, Jämsén PT, et al. The Plate Model: a visual method of teaching meal planning. DAIS Project Group. Diabetes Atherosclerosis Intervention Study. J Am Diet Assoc. 1998;98(10):1155–8.Google Scholar
  12. 12.
    Cambi MPC and Baretta GAP. Bariatric diet guide: plate model template for bariatric surgery patients. ABCD, 2018, 31(2).Google Scholar
  13. 13.
    Aills L, Blankenship J, Buffington C, Furtado M, Parrot J. ASMBS allied health nutritional guidelines for the surgical weight loss patient. SOARD 4 (2008) S73–S108.Google Scholar
  14. 14.
    Mechanick JI, Youdin A et al Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity 2013 21 (01): S1–27Google Scholar
  15. 15.
    Busetto L, Dicker D, Azran C, et al. Practical recommendations of the obesity management task force of the European Association for the Study of obesity for the post-bariatric surgery medical management. Obes Facts. 2017;10:597–632.Google Scholar
  16. 16.
    International Dietetics and Nutrition Terminology (IDNT) Reference Manual. Chicago, IL., Academy of Nutrition and Dietetics, 4a ed., 2013.Google Scholar
  17. 17.
    Apollo Endosurgery, Inc. A Intragastric Balloon System Orbera®. Available in: Accessed December 7, 2019.
  18. 18.
    Lopes Gomes D, Moehlecke M, Lopes Da Silva FB, et al. Whey protein supplementation enhances body fat and weight loss in women long after bariatric surgery: a randomized controlled trial. Obes Surg. 2017;27(2):424–31.Google Scholar
  19. 19.
    Trüeb RM. Serum Biotin Levels in Women Complaining of Hair Loss. Int J Trichology. 2016;8(2):73–7.Google Scholar
  20. 20.
    Parrott J, Frank L, Rabena R et al. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. SOARD (2017) 00–00.Google Scholar
  21. 21.
    Pellitero S, Martínez E, Puig R, et al. Evaluation of vitamin and trace element requirements after sleeve gastrectomy at long term. Obes Surg. 2017;27(7):1674–82.Google Scholar
  22. 22.
    Flores L, Moizé V, Pujol J, et al. Prospective study of individualized or high fixed doses of vitamin D supplementation after bariatric surgery. Obes Surg. 2015;25:470–6.Google Scholar
  23. 23.
    Lin L, Allemekinders H, Dansby A, et al. Evidence of health benefits of canola oil. Nutr Rev. 2013;71(6):370–385.Google Scholar
  24. 24.
    Delgado Floody P, Caamaño Navarrete F, Jerez Mayorga D, et al. Effects of a multidisciplinary program on morbid obese patients and patients with comorbidity who are likely to be candidates for bariatric surgery. Nutr Hosp. 2015;31(5):2011–6.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Clinic Dr Giorgio BarettaCuritibaBrazil
  2. 2.University Community of the Region of Chapecó, UnoescChapecóBrazil
  3. 3.University of Western Santa Catarina, UnoescJoaçabaBrazil
  4. 4.Postgraduate Program in Biosciences and HealthUnoescJoaçabaBrazil

Personalised recommendations