scholarly journals Nutritional Support for Bariatric Surgery Patients: The Skin beyond the Fat

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1565
Author(s):  
Paolo Toninello ◽  
Alvise Montanari ◽  
Franco Bassetto ◽  
Vincenzo Vindigni ◽  
Antonio Paoli
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Postoperative Period ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Water Soluble ◽  
Nutritional Deficiencies ◽  
Multivitamin Supplementation ◽  
Bariatric Patients ◽  
The Aesthetic

Body contouring surgery after the massive weight loss due to bariatric surgery deals with different kinds of complications. The aim of this review is to analyze the role that some nutrients may play in tissue healing after surgery, thus helping plastic surgeons to improve the aesthetic and health outcomes in massive weight loss patients under a multidisciplinary approach. As a matter of fact, preoperative nutritional deficiencies have been shown for vitamins and minerals in a large percentage of post-bariatric patients. Preoperative deficiencies mainly concern iron, zinc, selenium, and vitamins (both fat-soluble and water-soluble), but also total protein. During the postoperative period, these problems may increase because of the patients’ very low intake of vitamins and minerals after bariatric surgery (below 50% of the recommended dietary allowance) and the patients’ low compliance with the suggested multivitamin supplementation (approximately 60%). In the postoperative period, more attention should be given to nutritional aspects in regard to the length of absorptive area and the percentage of weight loss.

scholarly journals Post-bariatric surgery satisfaction and body-contouring consideration after massive weight loss

2013 ◽  
Vol 5 (4) ◽  
pp. 301 ◽  
Author(s):  
SalehM Aldaqal ◽  
AhmadM Makhdoum ◽  
AliM Turki ◽  
BasimA Awan ◽  
OsamaA Samargandi ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Post Bariatric Surgery

scholarly journals Body contouring following massive weight loss

2011 ◽  
Vol 44 (01) ◽  
pp. 014-020
Author(s):  
Vijay Langer ◽  
Amitabh Singh ◽  
Al S. Aly ◽  
Albert E. Cram
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Weight Gain ◽  
Body Contouring ◽  
Psychological Trauma ◽  
Massive Weight Loss ◽  
The Body ◽  
Plastic Surgeon

ABSTRACTObesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

Massive weight loss after bariatric surgery and the demand (desire) for body contouring surgery

2013 ◽  
Vol 37 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Esther M. Klopper ◽  
Henriette C. Kroese-Deutman ◽  
Frits J. Berends
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Body Contouring Surgery

National Bariatric Surgery and Massive Weight Loss Body Contouring Survey

2009 ◽  
Vol 124 (3) ◽  
pp. 926-933 ◽  
Author(s):  
Jeremy P. Warner ◽  
D Heath Stacey ◽  
Nyama M. Sillah ◽  
Jon C. Gould ◽  
Michael J. Garren ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Contouring ◽  
Massive Weight Loss

scholarly journals Funding for Postbariatric Body-Contouring (Bariplastic) Surgery in England: A Postcode Lottery

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Samrat Mukherjee ◽  
Sachin Kamat ◽  
Samuel Adegbola ◽  
Sanjay Agrawal
Keyword(s):  
Bariatric Surgery ◽  
Primary Care ◽  
Weight Loss ◽  
National Health Service ◽  
Health Service ◽  
Plastic Surgery ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Funding Policies ◽  
The Uk

Background. With the increase in bariatric surgery in the UK, there has been a substantial increase in patients undergoing massive weight loss (MWL) seeking postbariatric body-contouring (bariplastic) surgery. However, there is a wide variation of availability on the National Health Service (NHS). Aims. To (1) review the funding policies of Primary Care Trusts (PCTs) in England for bariplastic surgery and (2) analyse the number of procedures funded in two consecutive financial years. Methods. We sent out questionnaires to all PCTs in England regarding their funding policies for bariplastic surgery and requested the number of procedures funded in 2008-09 and 2009-10. Findings. 121/147 (82%) PCTs replied to our questionnaires. 73 (60%) excluded all bariplastic procedures. 106/121 (87.6%) PCTs had referral guidelines for plastic surgery. 46/121 (38%) PCTs provided the total number of funded abdominoplasty-apronectomy (A-A) in the two financial years: total number of A-A applicants rose from 393 to 531, but approval for funding fell from 24.2% to 19.6%. Only 3 (2%) PCTs indicated increase in their future spending on bariplastic procedures in the next 5 years, with 67% planning to decrease or unsure about future funding. Conclusion. There exists a postcode lottery for bariplastic surgery in England and we feel the need for guidelines on provision of bariplastic procedures following MWL.

scholarly journals Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, Despite the Widespread Use of Supplements

2021 ◽  
Vol 18 (9) ◽  
pp. 4541
Author(s):  
Mauro Lombardo ◽  
Arianna Franchi ◽  
Roberto Biolcati Rinaldi ◽  
Gianluca Rizzo ◽  
Monica D’Adamo ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Vitamin B12 ◽  
Vitamin B12 Deficiency ◽  
Ideal Body Weight ◽  
Excess Weight ◽  
Nutritional Deficiencies ◽  
Average Percentage ◽  
Nutritional Studies

There are few long-term nutritional studies in subjects undergoing bariatric surgery that have assessed weight regain and nutritional deficiencies. In this study, we report data 8 years after surgery on weight loss, use of dietary supplements and deficit of micronutrients in a cohort of patients from five centres in central and northern Italy. The study group consisted of 52 subjects (age: 38.1 ± 10.6 y, 42 females): 16 patients had Roux-en-Y gastric bypass (RYGB), 25 patients had sleeve gastrectomy (SG) and 11 subjects had adjustable gastric banding (AGB). All three bariatric procedures led to sustained weight loss: the average percentage excess weight loss, defined as weight loss divided by excess weight based on ideal body weight, was 60.6% ± 32.3. Despite good adherence to prescribed supplements, 80.7% of subjects (72.7%, AGB; 76.7%, SG; 93.8 %, RYGB) reported at least one nutritional deficiency: iron (F 64.3% vs. M 30%), vitamin B12 (F 16.6% vs. M 10%), calcium (F 33.3% vs. M 0%) and vitamin D (F 38.1% vs. M 60%). Long-term nutritional deficiencies were greater than the general population among men for iron and among women for vitamin B12.

Sign in / Sign up

Export Citation Format

Share Document