Skip to main content
SpringerLink
Log in

Nutritional Support After Bariatric Surgery

  • Chapter
  • First Online:
Nutritional Support after Gastrointestinal Surgery

  • 758 Accesses

Abstract

Obesity is a disease with a significant morbidity and mortality. About 3.4 million deaths related to obesity have been estimated worldwide in 2010, and its prevalence rose by 27.5% among adults between 1980 and 2013. Because of the far superior results of the surgical treatment compared to the medical therapy for obesity, the American Society for Metabolic and Bariatric Surgery has issued a grade A recommendation for bariatric surgery in patients with a body mass index (BMI) ≥40 kg/m2 or for those with BMI ≥35 kg/m2 and comorbidity unresponsive to previous medical treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, Heinberg LJ, Kushner R, Adams TD, Shikora S, Dixon JB, Brethauer S, American Association of Clinical Endocrinologists; Obesity Society; American Society for Metabolic & Bariatric Surgery. 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 (Silver Spring). 2013;21(Suppl 1):S1–S27.

    Article  CAS  Google Scholar 

  2. Faria GR. A brief history of bariatric surgery. Porto Biomed J. 2017;2:90–2. https://doi.org/10.1016/j.pbj.2017.01.008.

    Article  Google Scholar 

  3. Story of Obesity Surgery. https://asmbs.org/resources/story-of-obesity-surgery

  4. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, Scopinaro N. Bariatric surgery and endoluminal procedures: IFSO Worldwide Survey 2014. Obes Surg. 2017;27(9):2279–89.

    Article  CAS  Google Scholar 

  5. Italian Society of Bariatric Surgery and Metabolic Diseases (S.I.C.O.B.). Survey 2017. https://www.sicob.org/area_04_medici/00_indagine.aspx.

  6. Italian Society of Bariatric Surgery and Metabolic Diseases (S.I.C.O.B.). Guidelines. Edition 2016. https://www.sicob.org/area04medici/40lineeguida.aspx

  7. Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934. https://doi.org/10.1136/bmj.f5934.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Miras AD, le Roux CW. Mechanisms underlying weight loss after bariatric surgery. Nat Rev Gastroenterol Hepatol. 2013;10(10):575–84.

    Article  Google Scholar 

  9. Makaronidis JM, Batterham RL. Obesity, body weight regulation and the brain: insights from fMRI. Br J Radiol. 2018;91(1089):20170910. https://doi.org/10.1259/bjr.20170910.

    Article  PubMed  Google Scholar 

  10. Scott WR, Batterham RL. Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery. Am J Phys Regul Integr Comp Phys. 2011;301(1):R15–27.

    CAS  Google Scholar 

  11. Batterham RL, Cowley MA, Small CJ, et al. Gut hormone PYY(3-36) physiologically inhibits food intake. Nature. 2002;418(6898):650–4.

    Article  CAS  Google Scholar 

  12. Guida C, Stephen S, Guitton R, et al. The role of PYY in pancreatic islet physiology and surgical control of diabetes. Trends Endocrinol Metab. 2017;28(8):626–36.

    Article  CAS  Google Scholar 

  13. Muller TD, Nogueiras R, Andermann ML, et al. Ghrelin. Mol Metab. 2015;4(6):437–60.

    Article  CAS  Google Scholar 

  14. Berthoud HR. Metabolic and hedonic drives in the neural control of appetite: who is the boss? Curr Opin Neurobiol. 2011;21(6):888–96.

    Article  CAS  Google Scholar 

  15. Seeley RJ, Chambers AP, Sandoval DA. The role of gut adaptation in the potent effects of multiple bariatric surgeries on obesity and diabetes. Cell Metab. 2015;21(3):369–78.

    Article  CAS  Google Scholar 

  16. Thomas C, Gioiello A, Noriega L, et al. TGR5-mediated bile acid sensing controls glucose homeostasis. Cell Metab. 2009;10(3):167–77.

    Article  CAS  Google Scholar 

  17. Dufer M, Horth K, Wagner R, et al. Bile acids acutely stimulate insulin secretion of mouse beta-cells via farnesoid X receptor activation and K(ATP) channel inhibition. Diabetes. 2012;61(6):1479–89.

    Article  Google Scholar 

  18. Watanabe M, Houten SM, Mataki C, et al. Bile acids induce energy expenditure by promoting intracellular thyroid hormone activation. Nature. 2006;439(7075):484–9.

    Article  CAS  Google Scholar 

  19. Suzuki T, Aoyama J, Hashimoto M, et al. Correlation between postprandial bile acids and body fat mass in healthy normal-weight subjects. Clin Biochem. 2014;47(12):1128–31.

    Article  CAS  Google Scholar 

  20. Martinez KB, Pierre JF, Chang ED. The gut microbiota: the gateway to improved metabolism. Gastroenterol Clin N Am. 2016;45(4):601–14.

    Article  Google Scholar 

  21. Cummings DE. Taste and the regulation of food intake: it’s not just about flavor. Am J Clin Nutr. 2015;102(4):717–8.

    Article  CAS  Google Scholar 

  22. Piaggi P, Vinales KL, Basolo A, et al. Energy expenditure in the etiology of human obesity: spendthrift and thrifty metabolic phenotypes and energy-sensing mechanisms. J Endocrinol Investig. 2018;41(1):83–9.

    Article  CAS  Google Scholar 

  23. Glicksman C, Pournaras DJ, Wright M, et al. Postprandial plasma bile acid responses in normal weight and obese subjects. Ann Clin Biochem. 2010;47(Pt 5):482–4.

    Article  CAS  Google Scholar 

  24. Aron-Wisnewsky J, Clement K. The effects of gastrointestinal surgery on gut microbiota: potential contribution to improved insulin sensitivity. Curr Atheroscler Rep. 2014;16(11):454.

    Article  Google Scholar 

  25. Burton PR, Brown WA. The mechanism of weight loss with laparoscopic adjustable gastric banding: induction of satiety not restriction. Int J Obes. 2011;35:S26–30.

    Article  Google Scholar 

  26. Pucci A, Batterham RL. Mechanisms underlying the weight loss effects of RYGB and SG: similar, yet different. J Endocrinol Investig. 2019;42(2):117–28. https://doi.org/10.1007/s40618-018-0892-2.

    Article  CAS  Google Scholar 

  27. van Beek AP, Emous M, Laville M, Tack J. Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management. Obes Rev. 2017;18:68–85.

    Article  Google Scholar 

  28. Scopinaro N. Thirty-five years of biliopancreatic diversion: notes on gastrointestinal physiology to complete the published information useful for a better understanding and clinical of the operation. Obes Surg. 2012;22(3):427–32.

    Article  Google Scholar 

  29. Musella M, Apers J, Rheinwalt K, Ribeiro R, Manno E, Greco F, Čierny M, Milone M, Di Stefano C, Guler S, Van Lessen IM, Guerra A, Maglio MN, Bonfanti R, Novotna R, Coretti G, Piazza L. Efficacy of bariatric surgery in type 2 diabetes mellitus remission: the role of mini gastric bypass/one anastomosis gastric bypass and sleeve gastrectomy at 1 year of follow-up. A European Survey. Obes Surg. 2016;26(5):933–40. https://doi.org/10.1007/s11695-015-1865-6.

    Article  PubMed  Google Scholar 

  30. Kim SH, Chun HJ, Choi HS, Kim ES, Keum B, Jeen YT. Current status of intragastric balloon for obesity treatment. World J Gastroenterol. 2016;22(24):5495–504.

    Article  CAS  Google Scholar 

  31. Chang S-H, Stoll CRT, Song J, Varela JE, Eagon CJ, Colditz GA. Bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2014;149(3):275–87.

    Article  Google Scholar 

  32. Busetto L, Dicker D, Azran C, Batterham RL, Farpour-Lambert N, Fried M, et al. Obesity management task force of the European Association for the study of obesity released “practical recommendations for the post-bariatric surgery medical management”. Obes Surg. 2018;28(7):2117–21.

    Article  Google Scholar 

  33. Mechanick JI, Kushner RF, Sugerman HJ, Gonzalez-Campoy JM, Collazo-Clavell ML, Spitz AF, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity (Silver Spring). 2009;17(Suppl 1):S1–70.

    Google Scholar 

  34. Faintuch J, Matsuda M, Cruz ME, Silva MM, Teivelis MP, Garrido AB Jr, Gama-Rodrigues JJ. Severe protein calorie malnutrition after bariatric procedures. Obes Surg. 2004;14:175–81.

    Article  Google Scholar 

  35. Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L. American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis. 2017;13:727–41.

    Article  Google Scholar 

  36. Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, 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. Endocr Pract. 2013;19:337–72.

    Article  Google Scholar 

  37. Heber D, Greenway FL, Kaplan LM, Livingston E, Salvador J, Still C. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2010;95:4823–43.

    Article  CAS  Google Scholar 

  38. Papamargaritis D, Koukoulis G, Sioka E, Zachari E, Bargiota A, Zacharoulis D, Tzovaras G. Dumping symptoms and incidence of hypoglycaemia after provocation test at 6 and 12 months after laparoscopic sleeve gastrectomy. Obes Surg. 2012;22:1600–6.

    Article  Google Scholar 

  39. Laurenius A, Olbers T, Naslund I, Karlsson J. Dumping syndrome following gastric bypass: validation of the dumping symptom rating scale. Obes Surg. 2013;23:740–55.

    Article  Google Scholar 

  40. Banerjee A, Ding Y, Mikami DJ, Needleman BJ. The role of dumping syndrome in weight loss after gastric bypass surgery. Surg Endosc. 2013;27:1573–8.

    Article  Google Scholar 

  41. Nielsen JB, Pedersen AM, Gribsholt SB, Svensson E, Richelsen B. Prevalence, severity, and predictors of symptoms of dumping and hypoglycemia after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2016;12:1562–8.

    Article  Google Scholar 

  42. Papamargaritis D, Koukoulis G, Sioka E, et al. Dumping symptoms and incidence of hypoglycaemia after provocation test at 6 and 12 months after laparoscopic sleeve gastrectomy. Obes Surg. 2012;22:1600–6.

    Article  Google Scholar 

  43. Tzovaras G, Papamargaritis D, Sioka E, et al. Symptoms suggestive of dumping syndrome after provocation in patients after laparoscopic sleeve gastrectomy. Obes Surg. 2012;22:23–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Surgical Unit, “M. Rubino”—Azienda Ospedaliero Universitaria Policlinico, Bari, Italy

    Gennaro Martines

  2. Endocrinology Unit, Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy

    Sebastio Perrino

Authors
  1. Gennaro Martines
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sebastio Perrino
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Emergency and Organ Transplant, University of Bari Aldo Moro, Bari, Italy

    Donato Francesco Altomare

  2. Department of Emergency and Organ Transplant, University of Bari Aldo Moro, Bari, Italy

    Maria Teresa Rotelli

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Martines, G., Perrino, S. (2019). Nutritional Support After Bariatric Surgery. In: Altomare, D., Rotelli, M. (eds) Nutritional Support after Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16554-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16554-3_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16553-6

  • Online ISBN: 978-3-030-16554-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation