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Bariatric Therapy pp 457–482Cite as

Perioperative and Postoperative Guidance of the Bariatric Patient

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Abstract

Bariatric perioperative cares are a key and delicate issue nowadays, with many items that are intertwined: diet and supplementation, physical exercise, sociopsychological welfare and quality of life. Post-operative guidance starts already preoperatively, during the early stage, when a patient is being prepared for surgery, and then continues for life. Depending on each operation, follow-up plays out differently, but should be ensured by a dedicated team, and include the necessary means to avoid weight regain, and deficiencies in the same time.

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Abbreviations

AACE:

American Association of Clinical Endocrinologists

ASA:

American Society of Anaesthesiologists

ASMBS:

American Society for Metabolic and Bariatric Surgery

BAROS:

Bariatric Analysis and Reporting Outcomes System

BCS:

Biopharmaceutics Classification System

BMI:

Body mass index

BIA:

Bioelectrical impedance analysis

BMD:

Bone mineral density

BPD:

Biliopancreatic diversion

BPD-DS:

BPD-duodenal switch

CBT:

Cognitive-behavioural therapy

DR:

Discharge readiness

DVT:

Deep venous thrombosis

DXA:

Dual-energy X-ray absorptiometry

EASO:

European Association for the Study of Obesity

EBW:

Excess body weight

ERAS:

Enhanced recovery after surgery

FDA:

Food and Drug Administration

FFM:

Fat-free mass

GI:

Gastrointestinal

GP:

General practitioner

IFSO:

International Federation for the Surgery of Obesity

IU:

International units

IV:

Intravenous

IWQOL:

Impact of weight on quality of life

LAGB:

Laparoscopic adjustable gastric banding

LBM:

Lean body mass

LSG:

Laparoscopic sleeve gastrectomy

NHS:

National Health Service

NICE:

National Institute for Health and Clinical Excellence

NIV:

Non-invasive ventilation

NBSR:

National Bariatric Surgery Registry

NPD:

Normal protein diet

PED:

Protein-enriched diet

PPI:

Proton pump inhibitors

PCP:

Primary care physician

PTH:

Parathyroid hormone

QOL:

Quality of life

RCT:

Randomised controlled trials

RMR:

Resting metabolic rate

RYGB:

Roux-en-Y gastric bypass

SG:

Sleeve gastrectomy

T2DM:

Type 2 diabetes mellitus

TA:

Time to ambulate

TOS:

The Obesity Society

TWL:

Total weight loss

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Acknowledgments

The author wants to acknowledge Lisbeth Mathus-Vliegen for her help with this chapter.

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Authors and Affiliations

  1. Amsterdam UMC (University Medical Centres), Amsterdam, The Netherlands

    Elisabeth M. H. Mathus-Vliegen

  2. Polyclinique Lyon Nord, Lyon, France

    Jérôme Dargent

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Mathus-Vliegen, E.M.H., Dargent, J. (2018). Perioperative and Postoperative Guidance of the Bariatric Patient. In: Bariatric Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-90074-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-90074-2_7

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