Nutritional and pharmacologic challenges in the bariatric surgery patient.

Obesity Surgery
Mitsi H LizerTroy M Glembot

Abstract

The purpose of this study was to describe vitamin and nutrient supplement practices and assess medication dosage formulations utilized in patients hospitalized with a history of bariatric surgery. Retrospective pilot study was conducted from January 1, 2006 through December 31, 2007 in patients with a past history of bariatric surgery. Demographic data, vitamin and nutrient supplements, and medication dosage formulations were evaluated upon admission. This was compared to published guidelines. Compliance with the following supplementation was categorized: daily multivitamin, calcium, iron, vitamin B-12, and folic acid. The frequency of non-immediate-release and enteric-coated medication dosage forms was also examined. Discrepancies were identified as lack of one of the supplements or if an inappropriate dosage formulation was ordered. Of 133 admissions, 117 (88%) had a history of a malabsorptive procedure and at least one discrepancy was found. Only 33.3% of admissions were ordered a multivitamin, 5.1% were ordered supplemental vitamin B-12, and 7.7% received a calcium supplement. Additional folic acid was ordered in 11.1% and iron ordered in 12.0%. Inappropriate medication formulations were ordered in 61.5% of patients; 34.7% ...Continue Reading

References

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Citations

Jul 14, 2010·Annals of Surgery·Jacques HimpensGeert Peeters
Feb 23, 2013·Obesity Surgery·Jan Peter YskaEric N van Roon
Feb 7, 2014·Obesity Surgery·Fernando Lucas SoaresAlcides José Branco-Filho
Mar 19, 2013·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Margaret MaloneGeorge R Bailie
Nov 4, 2015·European Journal of Clinical Pharmacology·Jan Peter YskaEric N van Roon
May 18, 2013·MMW Fortschritte der Medizin·T SchubertH J Deuber
Oct 27, 2020·Journal of Nutritional Science·Hendrika J M SmeltEric J Hazebroek
Apr 3, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Scott Martin VouriJeffrey Friedman

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