Book Chapter
Published:
January 1, 2012

Medical Management of the Post Bariatric Patient

Brian J. Allan, Michael C. Cheung, Vishnu Chahwala, Nestor de la Cruz-Muñoz

Key Takeaways
  • After bariatric surgery, patients need ongoing care for vitamins/minerals, medication adjustments, and management of improving health conditions. This chapter provides a comprehensive guide to these needs.
  • Nutritional supplementation is essential, particularly after gastric bypass, typically requiring lifelong multivitamin, calcium, vitamin D, B12, and iron supplementation with regular blood work.
  • As patients lose weight, many diabetes, blood pressure, and cholesterol medications need reduction or discontinuation, requiring close medical follow-up.
  • This is the third of three chapters Dr. de la Cruz-Muñoz contributed to this textbook, completing a trilogy covering surgery, psychological evaluation, and medical management.
  • This demonstrates expertise extending well beyond the operating room, ensuring ongoing care for lasting success.
Abstract/Summary

This book chapter provides a comprehensive guide to the ongoing medical management of patients who have undergone bariatric surgery, covering nutritional management and supplementation requirements, monitoring for nutritional deficiencies, management of obesity-related comorbidities as they improve after surgery, medication adjustments, management of gastrointestinal symptoms, pregnancy considerations, and long-term medical surveillance recommendations.

Allan BJ, Cheung MC, Chahwala V, de la Cruz-Muñoz N. Medical Management of the Post Bariatric Patient. In: Thaller SR, ed. Cosmetic Surgery After Massive Weight Loss. London: JP Medical Ltd; 2012.

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