Biography
Biography: Bulbin Jose
Abstract
Bariatric surgery is the most eff ective treatment method to help people with morbid obesity to lose weight and manage their health and weight. Bariatric surgeries can be divided into three categories such as restrictive procedures, malabsorptive procedures and combination (restrictive and malabsorption) procedures. Generally, patients undergoing restrictive procedures have the least risk for long-term diet-related complications, whereas patients undergoing malabsorptive procedures have the highest risk. In many patients, the benefi ts of weight loss, such as decreased blood glucose, lipids and blood pressure and increased mobility, will outweigh the risks of surgical complications. Most diet-related surgical complications can be prevented by following a strict eating behavior guidelines and supplement prescriptions. Eating behavior guidelines include restricting portion sizes, chewing foods slowly and completely, eating and drinking separately and avoiding foods that are poorly tolerated. Supplement prescriptions vary among practitioners and usually involve at least a multivitamin with minerals. Some practitioners may add other supplements only as needed for diagnosed defi ciencies; others may prescribe additional prophylactic supplements. Th e most common nutrient defi ciencies are defi ciency of iron, foliate and vitamin B12. Fat-soluble vitamins such as vitamin A, D, E and K have been reported in patients with malabsorption procedures and Th iamine defi ciency is very common among patients with inadequate food intake and/or nausea and vomiting. Th e diet aft er bariatric surgery is diff erent from all other diets. So plan the menu based on the nutrient requirements and adhere to that to lead a healthy post bariatric surgery life. Frequent monitoring of nutrition status for all patients undergone bariatric surgeries can be helpful in preventing severe clinical defi ciencies.