Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic &amp; Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

Mechanick, Jeffrey I.; Apovian, Caroline M.; Brethauer, Stacy A.; Garvey, W. Timothy; Joffe, Aaron M.; Kim, Julie; Kushner, Robert F.; Lindquist, R R; Pessah-Pollack, Rachel; Seger, Jennifer; Urman, Richard D.; Adams, Sherrill L.; Cleek, John B.; Correa, Riccardo; Figaro, M. Kathleen; Flanders, Karen; Grams, Jayleen; Hurley, Daniel L.; Kothari, Shanu N.; Seger, Michael; Still, Christopher D.

doi:10.1016/j.soard.2019.10.025

Cited by 305 publications

(163 citation statements)

References 809 publications

Supporting

Mentioning

154

Contrasting

Unclassified

Order By: Relevance

“…Despite the historical lack of universal guidelines, the gold standard of the psychosocial behavioral pre-surgical evaluation is when psychiatrists and/or psychologists administer psychometric instruments while performing a clinical interview as well [8]. Though on the one hand, it was reported that the evaluation with self-report questionnaires may be vulnerable to several biases [9], on the other hand, the use of the clinical interview, such as the Structured Clinical Interview for the DSM (SCID), is more time-consuming, requiring preliminary training and a behavioral health specialist with expertise in the field of BS [10].…”

Section: Introductionmentioning

confidence: 99%

Assessing psychopathology in bariatric surgery candidates: discriminant validity of the SCL-90-R and SCL-K-9 in a large sample of patients

et al. 2020

View full text Add to dashboard Cite

Purpose Pre-surgical psychosocial evaluation of bariatric surgery (BS) patients should identify psychiatric issues that could worsen after surgery and those requiring additional ongoing intervention. In this view, the use of reliable, appropriate and concise evaluating instruments is of critical importance. The aim of the present study was to investigate the clinical utility of both the Symptom Checklist 90-Revised (SCL-90-R) and its brief unidimensional version, the so-called Symptom-Checklist-K-9 (SCL-K-9) in detecting the presence of psychiatric disorders among bariatric surgery (BS) candidates. Methods Seven-hundred-and-ninety-eight BS candidates (563 women and 235 men; mean age: 44.15 ± 11.45) were enrolled in the present study. All participants underwent a full psychiatric interview and were administered the SCL-90-R. Results Three-hundred-and-sixty-two patients (45.4%) met the criteria for a diagnosis of at least one psychiatric disorder and ninety-nine patients (12.4%) had psychiatric comorbidities. In the current sample, 219 patients (27.4%) met the criteria for binge eating disorders (BED), 158 (19.8%) met the criteria for major depressive disorder (MDD), and 67 (8.4%) met both criteria. A receiver operating characteristic (ROC) curves procedure showed that both the SCL-90-R and the SCL-K-9 satisfactorily categorize patients with any psychiatric disorder, both BED and MDD (area under the ROC curve ≥ 0.70, p < 0.001). Conclusion Our results suggest that the SCL-90-R and the SCL-K-9 may represent first-level screening tests identifying at-risk patients, eligible for a more expensive or time-consuming clinical assessment. Level of evidence Level V, cross-sectional, descriptive study.

show abstract

Section: Introductionmentioning

confidence: 99%

Assessing psychopathology in bariatric surgery candidates: discriminant validity of the SCL-90-R and SCL-K-9 in a large sample of patients

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Accordingly, this study may open the door to topic research on adherence, from a preoperative standpoint. Certainly, the last clinical update of guidelines for operative management stated that adherence is a health-related behavior domain that should be formally included in the preoperative evaluation [20].…”

Section: Discussionmentioning

confidence: 99%

“…After bariatric surgery, nonadherence to follow-up programs, vitamin supplementation, and lifestyle modifications have been described as paramount causes of inadequate weight loss, weight regain, or development of maladaptive eating behaviors, and psychiatric and medical complications [20][21][22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients

et al. 2021

View full text Add to dashboard Cite

Background Bariatric surgery is an effective treatment for the obesity epidemic, but the poor attendance and adherence rates of post-surgery recommendations threaten treatment effectiveness and health outcomes. Preoperatively, we investigated the unique contributions of clinical (e.g., medical and psychiatric comorbidities), sociodemographic (e.g., sex, age, and educational level), and psychopathological variables (e.g., binge eating severity, the general level of psychopathological distress, and alexithymia traits) on differing dimensions of adherence in a group of patients seeking bariatric surgery. Methods The final sample consisted of 501 patients (346 women). All participants underwent a full psychiatric interview. Self-report questionnaires were used to assess psychopathology, binge eating severity, alexithymia, and three aspects of adherence: knowledge, attitude, and barriers to medical recommendations. Results Attitude to adherence was associated with alexithymia (β = ˗2.228; p < 0.001) and binge eating disorder (β = 0.103; p = 0.047). The knowledge subscale was related to medical comorbidity (β = 0.113; p = 0.012) and alexithymia (β = −2.256; p < 0.001); with age (β = 0.161; p = 0.002) and psychiatric comorbidity (β =0.107; p = 0.021) manifesting in the barrier subscale. Conclusion We demonstrated that alexithymia and psychiatric and eating disorders impaired adherence reducing attitude and knowledge of treatment and increasing the barriers. Both patient and doctor can benefit from measuring adherence prior to surgery, with a qualitative approach shedding light on the status of adherence prior to the postsurgical phase when the damage regarding adherence is, already, done.

show abstract

“…The use of high dose folic acid supplements should be discouraged in order to avoid UMFA in the circulation and its potential negative effects. Our recommendation is in line with the recent clinical practice guidelines for perioperative nutrition, metabolic and nonsurgical support of patients undergoing bariatric procedures (cosponsored by the American Association of Clinical Endocrinologists/American College of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, the Obesity Medicine Association and American Society of Anesthesiologists), which states that supplementation with folate in a dose of more than 1 mg per day is not recommended because of the potential masking of vitamin B12 deficiency [ 56 ]. Timing, on the other hand, is of the utmost importance, since Crider et al demonstrated that stable levels of folate RBC are achieved after 9 months for those consuming a 375–570 µg/day dose.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

Periconceptional Folate Supplementation in Women after Bariatric Surgery—A Narrative Review

Vynckier¹,

Ceulemans

Vanheule³

et al. 2021

Nutrients

View full text Add to dashboard Cite

The prevalence of obesity is increasing globally, and along with it, there is a growing number of patients opting to undergo bariatric surgery to treat this condition. Whilst it has many advantages, bariatric surgery is known to induce micronutrient deficiency, with possible deleterious effects on overall health. This topic becomes even more relevant during pregnancy, where deficiencies can also affect the developing fetus, possibly being the cause of an increase in congenital anomalies. Most notably amongst these micronutrients is folate, or vitamin B9, which plays an essential role in development, gene expression and genomic stability. As insufficient levels of folate are associated with neural tube defects in the fetus, preventing and treating folate deficiencies during pregnancies after bariatric surgery is a relevant issue. Unfortunately, folate supplementation recommendations for bariatric patients who wish to become pregnant are not clear. In this narrative review, we discuss whether the recommendations for the general population are still valid for bariatric patients. Furthermore, we discuss the role of folate in the human body, folate status in both non-bariatric and bariatric patients, the various types of folate that are available for substitution and the risk associated with over-supplementation.

show abstract

Cited by 305 publications

References 809 publications

Assessing psychopathology in bariatric surgery candidates: discriminant validity of the SCL-90-R and SCL-K-9 in a large sample of patients

Assessing psychopathology in bariatric surgery candidates: discriminant validity of the SCL-90-R and SCL-K-9 in a large sample of patients

Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients

Periconceptional Folate Supplementation in Women after Bariatric Surgery—A Narrative Review

Contact Info

Product

Resources

About