Nutritional Supplements Needed by Patients After Bariatric Surgery

November 25, 2008

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Nutritional Supplements Needed by Patients After Bariatric Surgery

Reference: " Recommended Nutritional Supplements for Bariatric Surgery

Patients (December), " Malone M, Ann Pharmacother, 2008 Nov 18; [Epub

ahead of print]. (Address: Department of Pharmacy Practice, Albany

College of Pharmacy and Health Sciences, Albany, NY, USA. E-mail:

margaret.malone@... ).

Summary: In this article, the author reviews literature obtained from

searches on PubMed (1988-July 2008) to determine what nutritional

deficiencies are common in patients after bariatric surgery, and

therefore what nutritional supplements may be needed. The type of

surgery was an important factor in determining the types of deficiencies

that occurred. Specifically, malabsorptive procedures (e.g.,

biliopancreatic diversion or mixed restrictive/malabsorptive procedures

(e.g., Roux-en-Y gastric bypass) were found to results in the most

serious nutritional deficiencies post-surgically, and nutritional

supplementation is necessary. The most common micronutrients found to be

deficient were: vitamin B12, calcium, vitamin D, thiamine, folic acid,

iron, zinc, and magnesium. The authors conclude, " Healthcare

professionals, especially those who practice outside large bariatric

centers, must be aware of the supplements required by patients who have

had bariat ric surgery. "

--

ne Holden, MS, RD

" Ask the Parkinson Dietitian " http://www.parkinson.org/

" Eat well, stay well with Parkinson's disease "

" Parkinson's disease: Guidelines for Medical Nutrition Therapy "

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