Effects of standardized care plan on length of stay in patients undergoing laparoscopic Roux-en-Y gastric bypass for morbid obesity
- Resource Type
- Authors
- Shanu N. Kothari; Christopher J. Larson; Pamela J. Lambert; Michelle A. Mathiason; Michael D. Lara; Matthew T. Baker
- Source
- Surgery for Obesity and Related Diseases. 1:261
- Subject
- Vitamin
medicine.medical_specialty
Nutritional Supplementation
business.industry
Gastric bypass
medicine.disease
Roux-en-Y anastomosis
Surgery
chemistry.chemical_compound
Malnutrition
chemistry
Care plan
medicine
Vitamin D and neurology
In patient
business
- Language
- ISSN
- 1550-7289
tients and observed nutritional deficiencies. Methods: A survey was conducted via e-mail of ASBS surgeons who perform the DS procedure and of surgeons who attended the DS meeting of the 2004 ASBS conference in San Diego. The survey addressed nutritional guidelines given to patients, nutritional parameters measured postoperatively and nutritional deficiencies observed. Results: There were seventeen responses to the survey. Percent of the respondents recommending supplements ‘below’ RDI values were as follows: 44% recommended less than the RDI for calcium; 76% for iron; 24% for vitamins D and A (water-soluble); and 71% for vitamins E and K. More than half of respondents failed to recommend adequate fluid intake ( 64 oz) and only 29% recommended protein in amounts 80 g. Among the respondents, 27% reported vitamin D deficiencies post-DS; 18% reported vitamin A deficits; 41% low calcium; 29% low iron; and 35% protein deficiencies. Conclusions: Inadequate nutritional guidelines provided to patients undergoing the DS procedure may account for some of the nutritional deficiencies of the procedure. Standard nutritional supplementation guidelines should be developed for the DS procedure. PII: S1550-7289(05)00231-5