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Laparoscopic Roux-en-Y Gastric Bypass: Postoperative Management and Nutritional Evaluation

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Minimally Invasive Bariatric Surgery

Abstract

Gastric bypass surgery requires ongoing patient effort and commitment to attaining and maintaining the appro priate body weight and a healthy lifestyle. Surgery helps limit the food intake, whereas patients should attempt to improve their eating habits and dietary practice. This requirement should be made clear to prospective patients and continually emphasized during pre- and postopera tive counseling. For maintaining the desired weight, patients need to learn how to make the right food selec tions and comply with all nutrient supplementations. The Roux-en-Y gastric bypass procedure involves bypassing a large part of the stomach and the duodenum, and a vari able length of the proximal jejunum. Consequently, patients are at risk for developing various deficiencies, in particular protein, iron, vitamin B12, folate, calcium, and other macro- and micronutrients. With proper supple mentation these deficiencies are largely avoidable.

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Author information

Authors and Affiliations

  1. Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA

    Tomasz Rogula MD (Staff Surgeon)

  2. Department of Surgery, Magee-Women’s Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Giselle Hamad MD (Assistant Professor, Medical Director of Minimally Invasive General Surgery and Bariatrics)

Authors
  1. Tomasz Rogula MD
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  2. Giselle Hamad MD
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Editor information

Editors and Affiliations

  1. Lerner College of Medicine, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  2. Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic Institute The Cleveland Clinic Foundation, Cleveland, OH, 44195, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  3. Department of Surgery Health Sciences Center, University of Virginia Health System, Charlottesville, VA, 22908, USA

    Bruce D. Schirmer MD (Stephen H. Watts Professor of Surgery) (Stephen H. Watts Professor of Surgery)

  4. Advanced Laparoscopic and Bariatric Surgery, Department of Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Stacy A. Brethauer MD (Staff Surgeon) (Staff Surgeon)

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© 2007 Springer Science+Business Media, LLC

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Rogula, T., Hamad, G. (2007). Laparoscopic Roux-en-Y Gastric Bypass: Postoperative Management and Nutritional Evaluation. In: Schauer, P.R., Schirmer, B.D., Brethauer, S.A. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68062-0_32

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_32

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

  • eBook Packages: MedicineMedicine (R0)

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