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31 Laparoscopic Gastric Bypass: Nutritional Management After Surgery

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Minimally Invasive Bariatric Surgery

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Abstract

Patients who chose to have Roux-en-Y gastric bypass (RYGB) surgery need to be able to make long-term lifestyle changes and commit to lifelong vitamin and mineral supplementation. Because the amount of food that can be eaten is limited and nutrients are not fully absorbed, patients are at risk for developing a variety of macro- and micronutrient deficiencies. Nutrition guidelines should be explained at the onset of surgery consideration and reiterated at every phase of the process. This chapter will outline postoperative nutrition and supplementation requirements as well as review possible nutrient deficiencies, symptoms, and treatment for deficiencies should they occur. In addition, this chapter will address postoperative nutrition evaluation and follow-up protocols. It is important to provide continuous monitoring and adequate support to patients after surgery to ensure that they understand and are following program guidelines in order to achieve maximal weight loss and acquire skills to maintain a healthy weight.

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Author information

Authors and Affiliations

  1. University of Virginia Health System, 800673, Charlottesville, VA, 22908-0673, USA

    Kelli C. Hughes R.D., C.D.E. & Rebecca N. Puffer M.P.H., R.D.

  2. Rockingham Memorial Hospital, 2006 Health Campus Drive, Harrisonburg, VA, 22801, USA

    Mary B. Simmons R.D.

Authors
  1. Kelli C. Hughes R.D., C.D.E.
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  2. Rebecca N. Puffer M.P.H., R.D.
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  3. Mary B. Simmons R.D.
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Corresponding author

Correspondence to Kelli C. Hughes R.D., C.D.E. .

Editor information

Editors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Stacy A. Brethauer

  2. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Philip R. Schauer

  3. Department of Surgery, Health Sciences Center, University of Virginia Health System, Charlottesville, Virginia, USA

    Bruce D. Schirmer

Review Questions and Answers

Review Questions and Answers

  1. 1.

    Which of the following are common nutrient deficiencies after RYGB?

    1. A.

      Calcium

    2. B.

      Vitamin D

    3. C.

      Iron

    4. D.

      Vitamin B12

    5. E.

      All of the above

    • Answer: E

  2. 2.

    Findings associated with zinc deficiency include all of the following except:

    1. A.

      Poor wound healing

    2. B.

      Hair loss

    3. C.

      Glossitis

    4. D.

      Ataxia

    5. E.

      Dermatitis

    • Answer: D

  3. 3.

    Which of the following is not a predictor of successful weight maintenance after RYGB?

    1. A.

      Involvement with support groups

    2. B.

      Time spent online

    3. C.

      Regular follow-up visits

    4. D.

      Physical activity

    • Answer: B

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Hughes, K.C., Puffer, R.N., Simmons, M.B. (2015). 31 Laparoscopic Gastric Bypass: Nutritional Management After Surgery. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_31

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  • DOI: https://doi.org/10.1007/978-1-4939-1637-5_31

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