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Task Force Provides Guidelines for Post-Bariatric Surgery

Nutritional/endocrine management is advised to prevent complications and weight regain

MONDAY, Nov. 8 (HealthDay News) -- A new clinical practice guideline focuses on the nutritional and endocrine management of adults after bariatric surgery in an effort to prevent complications, weight regain, and progression of obesity-associated comorbidities, including diabetes. The guideline has been published in the November issue of the Journal of Clinical Endocrinology & Metabolism.

David Heber, M.D., of the David Geffen School of Medicine at the University of California in Los Angeles, and colleagues on an expert task force write that all patients who undergo bariatric surgery should receive care from a multidisciplinary team of health care providers, including an experienced primary care physician, endocrinologist, or gastroenterologist. Active nutritional patient education and clinical management to prevent and detect nutritional deficiencies are also recommended, especially among patients who undergo malabsorptive procedures. Patients are also advised to consider enrolling in a nutritional and lifestyle management program to aid in the prevention of weight regain and nutritional complications after bariatric surgery.

According to the guideline, for patients with diabetes, postoperative glycemic control should consist of reaching glycated hemoglobin of 7 percent or less, with fasting blood glucose no higher than 110 mg/dL and postprandial glucose no higher than 180 mg/dL. The new guideline also provides recommendations for bone health, gout prevention, and eating behaviors post-surgery.

"Future research should address the effectiveness of intensive postoperative nutritional and endocrine care in reducing morbidity and mortality from obesity-associated chronic diseases," the authors write.

Several authors disclosed financial relationships with various pharmaceutical, medical device, and other companies.

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