American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient

Jeffrey I. Mechanick, Robert F. Kushner, Harvey J. Sugerman, J. Michael Gonzalez-Campoy, Maria L. Collazo-Clavell, Safak Guven, Adam F. Spitz, Caroline M. Apovian, Edward H. Livingston, Robert Brolin, David B. Sarwer, Wendy A. Anderson, John Dixon

Research output: Contribution to journalReview articlepeer-review

238 Scopus citations

Abstract

American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice are systematically developed statements to assist healthcare professionals in medical decision making for specific clinical conditions. Most of the content herein is based on literature reviews. In areas of uncertainty, professional judgment was applied. These guidelines are a working document that reflects the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with their best clinical judgment. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances. The American Society for Parenteral & Enteral Nutrition fully endorses sections of these guidelines that address the metabolic and nutritional management of the bariatric surgical patient.{A figure is presented}{A figure is presented}{A figure is presented}{A figure is presented}.

Original languageEnglish (US)
Pages (from-to)S109-S184
JournalSurgery for Obesity and Related Diseases
Volume4
Issue number5 SUPPL.
DOIs
StatePublished - 2008

Keywords

  • 1,25-(OH)D = 1,25-dihydroxyvitamin D
  • 25-OHD = 25-hydroxyvitamin D
  • AACE = American Association of Clinical Endocrinologists
  • ACS = American College of Surgeons
  • ASMBS = American Society for Metabolic & Bariatric Surgery
  • BEL = "best evidence" rating level
  • BMD = bone mineral density
  • BMI = body mass index
  • BPD = biliopancreatic diversion
  • BPD/DS = biliopancreatic diversion with duodenal switch
  • CAD = coronary artery disease
  • CK = creatine kinase
  • CPAP = continuous positive airway pressure
  • CPG = clinical practice guidelines
  • CSF = cerebrospinal fluid
  • CT = computed tomography
  • DVT = deep venous thrombosis
  • EBW = excess body weight
  • EFA = essential fatty acids
  • EL = evidence level
  • FA = fatty acids
  • GERD = gastroesophageal reflux disease
  • GLP-1 = glucagon-like peptide-1
  • HDL = high-density lipoprotein
  • ICU = intensive care unit
  • LAGB = laparoscopic adjustable gastric band
  • LDL = low-density lipoprotein
  • MI = myocardial infarction
  • NAFLD = nonalcoholic fatty liver disease
  • NIH = National Institutes of Health
  • OHS = obesity-hypoventilation syndrome
  • OSA = obstructive sleep apnea
  • PCOS = polycystic ovary syndrome
  • PE = pulmonary embolus
  • PN = parenteral nutrition
  • PTH = parathyroid hormone
  • R = recommendation
  • RDI = respiratory disturbance index
  • RYGB = Roux-en-Y gastric bypass
  • SOS = Swedish Obese Subjects
  • T1DM = type 1 diabetes mellitus
  • T2DM = type 2 diabetes mellitus
  • TOS = The Obesity Society
  • UGI = upper gastrointestinal
  • VBG = vertical banded gastroplasty

ASJC Scopus subject areas

  • Surgery

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