Perioperative management of bariatric surgery patients: focus on metabolic bone disease.
Chronic vitamin D deficiency, inadequate calcium intake, and secondary hyperparathyroidism are common in obese individuals, placing them at risk for low bone mass and metabolic bone disease. After bariatric surgery, they are at even higher risk, owing to malabsorption and decreased oral intake. Meticulous preoperative screening, judicious use of vitamin and mineral supplements, addressing modifiable risk factors, and monitoring the absorption of key nutrients postoperatively are essential in preventing metabolic bone disease in bariatric surgery patients.
Center for Nutrition and Metabolic Medicine, Greene Memorial Hospital Advanced Medical Group, Xenia, OH 45385, USA. swilliams@greenehealth.org
Susan E
SE
Williams
Karen
K
Cooper
Bradford
B
Richmond
Philip
P
Schauer
D015502:Absorptiometry, Photon; D050110:Bariatric Surgery / Q000009:adverse effects*; D001851:Bone Diseases, Metabolic / Q000178:diet therapy / Q000188:drug therapy* / Q000517:prevention & control; D017610:Calcium Compounds / Q000627:therapeutic use; D004044:Dietary Proteins; D006305:Health Status Indicators; D006801:Humans; D017616:Magnesium Compounds / Q000627:therapeutic use; D009752:Nutritional Status; D009765:Obesity / Q000503:physiopathology*; D019990:Perioperative Care / Q000379:methods*; D012307:Risk Factors; D014805:Vitamin B 12 / Q000627:therapeutic use; D014807:Vitamin D / Q000627:therapeutic use
D017610:Calcium Compounds; D004044:Dietary Proteins; D017616:Magnesium Compounds; D014807:Vitamin D; D014805:Vitamin B 12