• Cleve Clin J Med · May 2008

    Review

    Perioperative management of bariatric surgery patients: focus on metabolic bone disease.

    • Susan E Williams, Karen Cooper, Bradford Richmond, and Philip Schauer.
    • Center for Nutrition and Metabolic Medicine, Greene Memorial Hospital Advanced Medical Group, Xenia, OH 45385, USA. swilliams@greenehealth.org
    • Cleve Clin J Med. 2008 May 1;75(5):333-4, 336, 338 passim.

    AbstractChronic vitamin D deficiency, inadequate calcium intake, and secondary hyperparathyroidism are common in obese individuals, placing them at risk for low bone mass and metabolic bone disease. After bariatric surgery, they are at even higher risk, owing to malabsorption and decreased oral intake. Meticulous preoperative screening, judicious use of vitamin and mineral supplements, addressing modifiable risk factors, and monitoring the absorption of key nutrients postoperatively are essential in preventing metabolic bone disease in bariatric surgery patients.

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