OMA Guidelines Bundle

Bariatric Surgery - Obesity Algorithm 2024

Obesity Medicine Association OMA GUIDELINES App Bundle brought to you courtesy of Guideline Central. All of these titles are available for purchase on our website, GuidelineCentral.com. Enjoy!

Issue link: https://eguideline.guidelinecentral.com/i/1349809

Contents of this Issue

Navigation

Page 19 of 27

20 Nutrient Considerations TOP 10 TAKEAWAY MESSAGES: Bariatric Surgery Nutrient Considerations 1. While biliopancreatic diversion with duodenal switch may result in the greatest amount of weight loss, it is a procedure that has a high rate of multiple post-procedure vitamin and mineral deficiencies. 2. Common vitamin and mineral deficiencies after gastric bypass and sleeve gastrectomy include deficiencies of vitamins B1 (thiamine), B9 (folate), B12 (cyanocobalamin), and D, as well as deficiencies of the minerals iron and calcium (gastric bypass); other vitamin and mineral deficiencies are more rarely reported. 3. Lower levels of vitamin D are often found pre-operatively in patients with obesity. 4. High-quality bariatric-specific multivitamins are routinely recommended after bariatric procedures, with supplements often containing higher amounts of vitamin B12, iron, vitamin C (to assist with iron absorption), vitamin D, and calcium. 5. Vitamin B1 (thiamine) deficiency can cause "dry" beriberi (e.g., Wernicke-Korsakoff encephalopathy) and "wet" beriberi (e.g., high cardiac output heart failure). 6. Vitamin B9 (folate) deficiency can cause megaloblastic anemia. 7. Vitamin B12 (cyanocobalamin) deficiency can cause megaloblastic anemia and nervous system disorders. 8. Vitamin D deficiency can cause osteopenia, secondary hyperparathyroidism, and hypocalcemia. 9. Calcium deficiency can cause osteopenia, secondary hyperparathyroidism, and hypocalcemia. 10. Iron deficiency can cause microcytic anemia.

Articles in this issue

Archives of this issue

view archives of OMA Guidelines Bundle - Bariatric Surgery - Obesity Algorithm 2024