Problems in bariatric patient care - challenges for dieticians.

Abstract

Obesity management options include a low-calorie diet, behavioral therapy, regular physical activity and pharmacological therapy. However, treatment failure is frequently encountered, most of these methods are ineffective, and a positive outcome is rarely maintained in the long term. In morbidly obese patients, bariatric surgery is considered the most effective treatment for obesity as well as the accompanying diseases. Bariatric surgery promotes much greater weight loss than conservative treatment, regardless of the applied surgical technique. Bariatric surgery patients should receive professional perioperative (preoperative, intraoperative and postoperative) care from a multidisciplinary team of specialists, including a bariatric surgeon, a general practitioner, a dietitian and a health psychologist. Patients require postoperative nutritional counseling to be able to stabilize their weight and maintain long-term weight loss after surgery. Patients are guided by bariatric dietitians through the process of adopting new eating habits and behavior, learning how to make healthy food choices.

Laparoscopic sleeve gastrectomy: a study of efficiency in treatment of metabolic syndrome components, comorbidities and influence on certain biochemical markers.

“…The LSG is one of the most effective methods for obesity treatment and stands out to fulfill requirements demanded for appropriate therapy in the whole MS area, in cooperation with diet, psychological treatment, lifestyle modifications and all other supportive therapy methods. Such a conclusion is widely confirmed also in current scientific literature [24][25][26], whereas standalone therapeutic efficiency of mentioned conservative methods usage without bariatric treatment remains unsatisfactory and rarely provides desired positive long-term outcome [27]. When focusing on particular MS components, results achieved in our observation lead to the conclusion that undergoing the LSG operation not only effectively treats existing NIDDM cases, but also enforces normalization of glucose metabolism parameters and prevents development of NIDDM by treating the insulin resistance phenomenon.…”

Comparison of effects of low-flow and normal-flow anesthesia on cerebral oxygenation and bispectral index in morbidly obese patients undergoing laparoscopic sleeve gastrectomy: a prospective, randomized clinical trial.

“…Laparoscopic bariatric surgery is the most effective long-term treatment for severe obesity and obesity-related comorbidities [3]. Insufflation of the abdominal cavity with carbon dioxide (CO 2 ) is necessary for good surgical visibility and proper surgical manipulation [4].…”

Continuous Glucose Monitoring in Bariatric Patients Undergoing Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-En-Y Gastric Bypass

“…Patients were treated in accordance with the Enhanced Recovery after Surgery (ERAS) protocol, with regard to preoperative, intraoperative, and postoperative interventions [6,[8][9][10]. During the preoperative period, patients were appropriately counseled and thoroughly examined, with particular emphasis on the presence and management of DM2 and any significant comorbidities.…”