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British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update
Author(s) -
O'Kane Mary,
Parretti Helen M.,
Pinkney Jonathan,
Welbourn Richard,
Hughes Carly A.,
Mok Jessica,
Walker Nerissa,
Thomas Denise,
Devin Jennifer,
Coulman Karen D.,
Pinnock Gail,
Batterham Rachel L.,
Mahawar Kamal K.,
Sharma Manisha,
Blakemore Alex I.,
McMillan Iris,
Barth Julian H.
Publication year - 2020
Publication title -
obesity reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.845
H-Index - 162
eISSN - 1467-789X
pISSN - 1467-7881
DOI - 10.1111/obr.13087
Subject(s) - medicine , biliopancreatic diversion , sleeve gastrectomy , micronutrient , duodenal switch , perioperative , surgery , obesity , incidence (geometry) , general surgery , intensive care medicine , gastric bypass surgery , morbid obesity , gastric bypass , weight loss , physics , pathology , optics
Summary Bariatric surgery is recognized as the most clinically and cost‐effective treatment for people with severe and complex obesity. Many people presenting for surgery have pre‐existing low vitamin and mineral concentrations. The incidence of these may increase after bariatric surgery as all procedures potentially cause clinically significant micronutrient deficiencies. Therefore, preparation for surgery and long‐term nutritional monitoring and follow‐up are essential components of bariatric surgical care. These guidelines update the 2014 British Obesity and Metabolic Surgery Society nutritional guidelines. Since the 2014 guidelines, the working group has been expanded to include healthcare professionals working in specialist and non‐specialist care as well as patient representatives. In addition, in these updated guidelines, the current evidence has been systematically reviewed for adults and adolescents undergoing the following procedures: adjustable gastric band, sleeve gastrectomy, Roux‐en‐Y gastric bypass and biliopancreatic diversion/duodenal switch. Using methods based on Scottish Intercollegiate Guidelines Network methodology, the levels of evidence and recommendations have been graded. These guidelines are comprehensive, encompassing preoperative and postoperative biochemical monitoring, vitamin and mineral supplementation and correction of nutrition deficiencies before, and following bariatric surgery, and make recommendations for safe clinical practice in the U.K. setting.