Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 Can we upload this to the reference article section of the website? Thanks to Dianne Kiyomoto, RD for posting the abstract here previously! I have the entire article as an Ovid e-mail to me, but it is copywrited, etc. Hilleary, MPH, RD San Diego VA Healthcare System P.S. The files section of the website is looking terrific, thanks to whoever worked on organizing/refining this! --------------------------------------------------------------------------- Diabetes Care © 2005 by the American Diabetes Association, Inc. Volume 28(2) February 2005 pp 481-484 Follow-up of Nutritional and Metabolic Problems After Bariatric Surgery Fujioka, Ken MD From the Department of Endocrinology, Scripps Clinic, San Diego, California. Address correspondence and reprint requests to Ken Fujioka, MD, Director of Nutrition and Metabolic Research, Scripps Clinic, Suite 317, 12395 El Camino Real, San Diego, CA 92130. E-mail: fujioka.ken@.... Abstract Over the next several years, the number of patients who will have had bariatric surgery for morbid obesity will reach close to a million. Several well-described nutritional problems such as B12 and iron deficiency will be noted in these patients. Many of these patients will be lost to the original surgeon and will now be in the care of the " other physicians. " These and other mineral and vitamin problems will need to be screened and treated. If these problems are left undiagnosed, severe and irreparable problems can result. Early problems, such as vomiting and dumping syndrome, will be easily recognized and treated, but other long-term problems, such as changes in bone metabolism, will need to be monitored. Again, if some of these long-term problems are not addressed in a timely fashion, then eventual treatment becomes much more difficult. This commentary will cover the common as well newer problems that are now developing in the patient who has had bariatric surgery. Patients who have undergone bariatric surgery require medical follow-up for reasons that are often determined by the type of surgical procedure performed. The majority of this review will deal with patients who have had the standard Roux-en-Y gastric bypass, which is a primarily restrictive procedure with a mild component of noncaloric malabsorption. At the end of this report, a short section will be devoted to the problems associated with the malabsorptive procedures. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 I, too would also like to get a copy of this article. I have tried accessing the web site, but no luck in getting the article. Thanks, Stacey Diabetes Care article Can we upload this to the reference article section of the website? Thanks to Dianne Kiyomoto, RD for posting the abstract here previously! I have the entire article as an Ovid e-mail to me, but it is copywrited, etc. Hilleary, MPH, RD San Diego VA Healthcare System P.S. The files section of the website is looking terrific, thanks to whoever worked on organizing/refining this! --------------------------------------------------------------------------- Diabetes Care © 2005 by the American Diabetes Association, Inc. Volume 28(2) February 2005 pp 481-484 Follow-up of Nutritional and Metabolic Problems After Bariatric Surgery Fujioka, Ken MD From the Department of Endocrinology, Scripps Clinic, San Diego, California. Address correspondence and reprint requests to Ken Fujioka, MD, Director of Nutrition and Metabolic Research, Scripps Clinic, Suite 317, 12395 El Camino Real, San Diego, CA 92130. E-mail: fujioka.ken@.... Abstract Over the next several years, the number of patients who will have had bariatric surgery for morbid obesity will reach close to a million. Several well-described nutritional problems such as B12 and iron deficiency will be noted in these patients. Many of these patients will be lost to the original surgeon and will now be in the care of the " other physicians. " These and other mineral and vitamin problems will need to be screened and treated. If these problems are left undiagnosed, severe and irreparable problems can result. Early problems, such as vomiting and dumping syndrome, will be easily recognized and treated, but other long-term problems, such as changes in bone metabolism, will need to be monitored. Again, if some of these long-term problems are not addressed in a timely fashion, then eventual treatment becomes much more difficult. This commentary will cover the common as well newer problems that are now developing in the patient who has had bariatric surgery. Patients who have undergone bariatric surgery require medical follow-up for reasons that are often determined by the type of surgical procedure performed. The majority of this review will deal with patients who have had the standard Roux-en-Y gastric bypass, which is a primarily restrictive procedure with a mild component of noncaloric malabsorption. At the end of this report, a short section will be devoted to the problems associated with the malabsorptive procedures. _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 Hi , I went to our medical library and the librarian got the article for me in a day. It is very good. I have had a lot of questions regarding this issue and am glad to have a nice summary article I can at least share with pts so they know what to share with primary doctors. I had a pt last week that had surgery in another state 2 yrs ago, has not taken her vitamins, calcium for the past year (and has not been to a doctor for at least a year) and went to her new doctor here. He did not order a single lab for her. I faxed him a copy of this article and am hoping he follows through on it! Thanks, Theresa > Can we upload this to the reference article section of the website? > Thanks to Dianne Kiyomoto, RD for posting the abstract here previously! > I have the entire article as an Ovid e-mail to me, but it is copywrited, > etc. > > Hilleary, MPH, RD > San Diego VA Healthcare System > > P.S. The files section of the website is looking terrific, thanks to > whoever worked on organizing/refining this! > > ------------------------------------------------------------------- -------- > Diabetes Care > © 2005 by the American Diabetes Association, Inc. > Volume 28(2) February 2005 pp 481-484 > > Follow-up of Nutritional and Metabolic Problems After Bariatric Surgery > Fujioka, Ken MD > From the Department of Endocrinology, Scripps Clinic, San Diego, California. > Address correspondence and reprint requests to Ken Fujioka, MD, Director of > Nutrition and Metabolic Research, Scripps Clinic, Suite 317, 12395 El Camino > Real, San Diego, CA 92130. E-mail: fujioka.ken@s... > > Abstract > > Over the next several years, the number of patients who will have had > bariatric > surgery for morbid obesity will reach close to a million. Several > well-described > nutritional problems such as B12 and iron deficiency will be noted in these > patients. Many of these patients will be lost to the original surgeon and > will > now be in the care of the " other physicians. " These and other mineral and > vitamin problems will need to be screened and treated. If these problems are > left undiagnosed, severe and irreparable problems can result. Early > problems, > such as vomiting and dumping syndrome, will be easily recognized and > treated, > but other long-term problems, such as changes in bone metabolism, will need > to > be monitored. Again, if some of these long-term problems are not addressed > in a > timely fashion, then eventual treatment becomes much more difficult. This > commentary will cover the common as well newer problems that are now > developing > in the patient who has had bariatric surgery. Patients who have undergone > bariatric surgery require medical follow-up for reasons that are often > determined by the type of surgical procedure performed. The majority of this > review will deal with patients who have had the standard Roux-en-Y gastric > bypass, which is a primarily restrictive procedure with a mild component of > noncaloric malabsorption. At the end of this report, a short section will be > devoted to the problems associated with the malabsorptive procedures. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.