Bariatrica

CCMPLICACIONES DE LA CIRUGIA BARIATRICA
Nutr Clin Pract. 2007 Dec;22(6):673-8.

Complications after bariatric surgery: survey evaluating impact on the practice of specialized nutrition support.Kumpf VJ, Slocum K, Binkley J, Jensen G.
Vanderbilt University Medical Center, Center for Human Nutrition, 1121 21st Ave S, 514 Medical Arts Bldg, Nashville, TN 37232, USA.vanessa.kumpf@vanderbilt.edu
BACKGROUND: The rapid growth of obesity rates has affected the practice of specialized nutrition support in various ways. One area that deserves special consideration is the impact that bariatricsurgery, in particular complications resulting from bariatric surgery, has made on nutrition support practice. A descriptive survey was designed to evaluate this impact and to assess the variousapproaches to nutrition assessment and interventions in the postoperative bariatric surgery patient. METHODS: A web-based survey consisting of 17 questions was administered in April 2006 to AmericanSociety for Parenteral and Enteral Nutrition (A.S.P.E.N.) members with available e-mail addresses. Participants were queried about professional background, primary practice setting, and various issuesrelated to their involvement in the care of bariatric surgery patients. RESULTS: There were 467 responses returned out of 3400 surveys delivered (14% response rate). Sixty percent of responders estimatedthey were consulted to see 1-10 patients requiring specialized nutrition support over the previous year as a result of complications of bariatric surgery. The most common indications for specializednutrition support in these patients were anastomotic leak/fistula (49%) and chronic nausea/vomiting (27%). When estimating calorie goals, 62% used an adjusted body weight, 15% used ideal body weight,and 14% used actual weight. When estimating protein goals, 56% used an adjusted body weight, 29% used ideal body weight, and 8% used actual weight. CONCLUSION: These observations provide impetus for...