New ASMBS Integrated Health Nutritional Guidelines Published in SOARD

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Published in July/August Issue             

The May print edition of SOARD published three new ASMBS guidelines on nutrition, a care pathway for sleeve gastrectomy and the impact of obesity and its treatment on fertility.

The guidelines on nutrition update 2008 guidelines with key micronutrient research in laparoscopic adjustable gastric banding,
Roux-en-Y gastric bypass, laparoscopic sleeve gastrectomy, biliopancreatic diversion, and biliopancreatic diversion/duodenal switch.

According to the authors, patients should be educated before and after weight loss surgery on the expected nutrient deficiencies associated with alterations in physiology. They note that although surgery can exacerbate preexisting nutrient deficiencies, preoperative screening for vitamin deficiencies “has not been the norm” in the majority of surgical practices. “Screening is important because it is common for patients who present for weight loss surgery to have at least one vitamin or mineral deficiency preoperatively,” they write.

More than 400 articles were reviewed in detail in coming up with 92 recommendations
(79 new recommendations and 13 remain unchanged from 2008). The authors conclude data continue to suggest that the prevalence of micronutrient deficiencies is increasing,
while monitoring of patients at follow-up is decreasing. The guidelines were first published online on January 19.