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Guidance

BOMSS issues post-op nutritional guidance

The new guidance says patients should have a comprehensive assessment, including nutritional status prior to bariatric surgery

Experts from the British Obesity & Metabolic Surgery Society (BOMSS) have drawn up two sets of guidance to help ensure that patients continue to meet their nutritional needs following operations. Designed for BOMSS members and GPs, the new guidance says patients should have a comprehensive assessment, including nutritional status prior to bariatric surgery.

"Operations to check obesity are often of huge benefit to individuals but we need to ensure that they continue to eat a balanced diet afterwards and receive the correct vitamin and mineral supplements,” said Ms Mary O’Kane, consultant dietitian in obesity based in Leeds Teaching Hospitals and an allied health professional representative on the BOMSS Council. “Both sets of guidelines provide bariatric centres and GPs with clear advice on what they need to do when patients are returned to their care after an operation including how often they need to be checked and what kind of symptoms to look out for. I am sure they will be very be very welcome."

Ms Mary O’Kane

The ‘Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery’ are aimed at BOMSS members and states that if there is any doubt about a patient's nutrition they should be referred for specialist advice.

These guidelines have been complemented by ‘GP Guidance: Management of nutrition following bariatric surgery’, which is aimed at GPs. This spells out some of the nutritional deficiencies GPs should look out for including rapid weight loss, anaemia and poor wound healing.

Following surgery, patients must be monitored to ensure that they are both meeting their nutritional requirements and taking appropriate vitamin and mineral supplements. This usually takes place in the specialist bariatric centre for two years after an operation before patients are referred back to be looked after by their GP.

“I am delighted to announce the publication of these guidelines which I am sure bariatric centres and GPs will find very useful,” said President of BOMSS, Mr Richard Welbourn. "We know how valuable surgery can be in helping people gain control of their weight. These guidelines will help make sure they continue to reap the benefits without compromising their nutritional needs."

The ‘Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery’ can be accessed here

The ‘GP Guidance: Management of nutrition following bariatric surgery’ can be accessed here

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