American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient

• Published in: Surgery for obesity and related diseases Vol. 4; no. 5; pp. S109 - S184
• Main Authors: Mechanick, Jeffrey I., Kushner, Robert F., Sugerman, Harvey J., Gonzalez-Campoy, J. Michael, Collazo-Clavell, Maria L., Guven, Safak, Spitz, Adam F., Apovian, Caroline M., Livingston, Edward H., Brolin, Robert, Sarwer, David B., Anderson, Wendy A., Dixon, John
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2008
• Subjects: 1,25-(OH) 2D = 1,25-dihydroxyvitamin D; 25-OHD = 25-hydroxyvitamin D; AACE = American Association of Clinical Endocrinologists; ACS = American College of Surgeons; ASMBS = American Society for Metabolic & Bariatric Surgery; Bariatric Surgery - adverse effects; BEL = “best evidence” rating level; BMD = bone mineral density; BMI = body mass index; BPD = biliopancreatic diversion; BPD/DS = biliopancreatic diversion with duodenal switch; CAD = coronary artery disease; CK = creatine kinase; Comorbidity; CPAP = continuous positive airway pressure; CPG = clinical practice guidelines; CSF = cerebrospinal fluid; CT = computed tomography; DVT = deep venous thrombosis; EBW = excess body weight; EFA = essential fatty acids; EL = evidence level; FA = fatty acids; Gastric Bypass; Gastroenterology and Hepatology; GERD = gastroesophageal reflux disease; GLP-1 = glucagon-like peptide-1; HDL = high-density lipoprotein; Humans; ICU = intensive care unit; LAGB = laparoscopic adjustable gastric band; LDL = low-density lipoprotein; Malabsorption Syndromes - complications; Malabsorption Syndromes - metabolism; Malabsorption Syndromes - physiopathology; MI = myocardial infarction; NAFLD = nonalcoholic fatty liver disease; NIH = National Institutes of Health; Nutrition Assessment; Nutrition Therapy - standards; Obesity, Morbid - complications; Obesity, Morbid - epidemiology; Obesity, Morbid - metabolism; Obesity, Morbid - surgery; OHS = obesity-hypoventilation syndrome; OSA = obstructive sleep apnea; PCOS = polycystic ovary syndrome; PE = pulmonary embolus; Perioperative Care - standards; PN = parenteral nutrition; Postoperative Care - standards; PTH = parathyroid hormone; R = recommendation; RDI = respiratory disturbance index; RYGB = Roux-en- Y gastric bypass; Sleep Apnea Syndromes - epidemiology; SOS = Swedish Obese Subjects; Surgery; T1DM = type 1 diabetes mellitus; T2DM = type 2 diabetes mellitus; TOS = The Obesity Society; UGI = upper gastrointestinal; VBG = vertical banded gastroplasty; BEL = “best evidence” rating level; CAD = coronary artery disease; UGI = upper gastrointestinal; LDL = low-density lipoprotein; CSF = cerebrospinal fluid; CPG = clinical practice guidelines; CT = computed tomography; EFA = essential fatty acids; NIH = National Institutes of Health; GERD = gastroesophageal reflux disease; PCOS = polycystic ovary syndrome; SOS = Swedish Obese Subjects; EL = evidence level; PTH = parathyroid hormone; PE = pulmonary embolus; BMI = body mass index; HDL = high-density lipoprotein; GLP-1 = glucagon-like peptide-1; T2DM = type 2 diabetes mellitus; ICU = intensive care unit; RYGB = Roux-en- Y gastric bypass; ACS = American College of Surgeons; VBG = vertical banded gastroplasty; OSA = obstructive sleep apnea; R = recommendation; TOS = The Obesity Society; FA = fatty acids; 1,25-(OH) 2D = 1,25-dihydroxyvitamin D; T1DM = type 1 diabetes mellitus; AACE = American Association of Clinical Endocrinologists; DVT = deep venous thrombosis; 25-OHD = 25-hydroxyvitamin D; BPD/DS = biliopancreatic diversion with duodenal switch; LAGB = laparoscopic adjustable gastric band; OHS = obesity-hypoventilation syndrome; BPD = biliopancreatic diversion; RDI = respiratory disturbance index; NAFLD = nonalcoholic fatty liver disease; BMD = bone mineral density; PN = parenteral nutrition; ASMBS = American Society for Metabolic & Bariatric Surgery; CPAP = continuous positive airway pressure; EBW = excess body weight; CK = creatine kinase; MI = myocardial infarction
• ISSN: 1550-7289; 1878-7533
• DOI: 10.1016/j.soard.2008.08.009

American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice are systematically developed statements to assist healthcare professionals in medical decision making for specific clinical conditions. Most of the content herein is based on literature reviews. In areas of uncertainty, professional judgment was applied. These guidelines are a working document that reflects the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with their best clinical judgment. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances. The American Society for Parenteral & Enteral Nutrition fully endorses sections of these guidelines that address the metabolic and nutritional management of the bariatric surgical patient. [Display omitted] [Display omitted] [Display omitted] [Display omitted]