Nutrition and Bariatric Surgery

Prof. Jaime Ruiz-Tovar is a bariatric surgeon at Rey Juan Carlos University Hospital (Madrid, Spain) and Professor of Surgery at Universidad Alfonso X (Madrid, Spain) and Universidad Rey Juan Carlos (Madrid, Spain). Professor Ruiz-Tovar is coordinator of the Bariatric Chapter of the ERAS-Spain group, the leader in several clinical and basic research projects on bariatric surgery and author of over 180 manuscripts in indexed journals, 15 books, and 70 book chapters.

• 1. Preoperative nutritional deficiencies2. Nutritional evaluation and calculation of nutritional requirements in the preoperative course3. Preoperative diets: LCD, VLCD and commercial supplements4. Impact of preoperative nutritional intervention on comorbidities: Type 2 diabetes, hypertension, dyslipidemia and NAFLD5. Fluid therapy during bariatric surgery6. Bariatric surgery options7. Postoperative complications. Indications and access routes for enteral and parenteral nutrition8. Nutritional treatment in the critically-ill complicated patient9. Nutritional recommendations after restrictive procedures10. Nutritional recommendations after mixed procedures11. Nutritional recommendations after malabsorptive procedures12. Postoperative vitamin and mineral supplementation13. Special nutritional requirements in children and adolescents undergoing bariatric surgery14. Special nutritional requirements in the elderly patient undergoing bariatric surgery15. Special nutritional requirements in specific situations in women: Pregnanacy, lactancy and post-menopauseal status16. Follow-up and screening of postoperative nutritional deficiencies17. Postoperative management of specific complications: Anemia, protein malnutrition and neurological disorders18. Cookbook for bariatric patients

"This book has a lot of potential, but it falls a little short of what I think it could be. For example, 1) the tables would be more organized if they used horizontal lines as well as vertical lines to separate the topics/information. As the tables currently stand, they appear disjointed and are not easily read or deciphered; 2) I recommend utilizing color in the diagrams and figures to help direct the eye toward important statements; 3) The restriction versus mixed versus malabsorptive distinction should be updated. This is a more outdated term, especially as we also see nutritional deficiencies in sleeve gastrectomies; 4) Bullet points should be utilized for the end-of-chapter recommendations; and 5) A succinct table on micronutrients/vitamins for each surgery would be helpful for easy reference. Overall, the resources and references are up to date and do a good job of providing an overview of nutritional needs pre- and post-bariatric surgery." --© Doody’s Review Service, 2021, Erin Catherine Worden, MD, reviewer, expert opinion