All of the currently popular bariatric surgical procedures can result in micronutrient deficiencies due to reduced nutrient intake and reduction in nutrient absorption. The extent of which and which micronutrients are involved will vary from one procedure to the next. Micronutrient deficiencies can result in serious and even permanent consequences. It is, therefore, critical that all clinicians who care for patients who have had bariatric surgery, be aware of the potential nutritional consequences of these procedures. Understanding the signs and symptoms of the potential deficiencies and how to diagnose and treat them when they occur will reduce the likelihood of serious long term or even permanent sequelae. The speakers are both well-regarded and veteran clinicians with long track records of care of bariatric patients. Additionally, both have years of experience in clinical nutrition. The faculty will present a comprehensive overview of the issues pertaining to micronutrients as they relate to bariatric surgery and will open with an overview of the surgical procedures including potential complications especially nutritional. The signs and symptoms of micronutrient deficiencies will be presented utilizing the nutrition-focused physical exam. The recently published American Society for Metabolic and Bariatric Surgery guidelines for micronutrients will be reviewed, including the suggestions for proper surveillance and the methods for repletion.

Learning Objectives:

Recognize the currently popular bariatric surgical procedures and distinguish their physiologic differences, particularly from a nutritional status
Utilize the American Society for Metabolic and Bariatric Surgery micronutrient guidelines for in the treatment of bariatric patients
Identify the signs and symptoms of micronutrient deficiencies.
Implement processes for lifetime micronutrient surveillance and aggressive repletion of deficiencies

Scott Shikora MD, FACS, FASMBS

Director; Professor of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital; Harvard Medical School, Boston, MA

Appearances