@Article{Handzlik-Orlik2016,
journal="Nutrition, Obesity \& Metabolic Surgery",
issn="2353-9437",
year="2016",
title="Management of  the  post-bariatric surgery patient – what an internist needs to know",
abstract="Bariatric surgery is the  most effective method of  achieving long-lasting weight loss and improving metabolic and cardiovascular outcomes in selected obese patients (i.e. with body mass index [BMI] ≥ 40 kg/m2 without coexisting morbidities or BMI ≥ 35 kg/m2 with severe obesity-related diseases). As the  epidemic of  obesity grows, it is estimated that by 2030 around 11% of  the  population will be severely obese. Therefore, the  number of  bariatric procedures performed increases year after year, and it reached 179,000 in 2013. Bariatric procedures can be divided into three main types: restrictive, malabsorptive, and mixed procedures. While, careful multi-disciplinary preoperative assessment of  the  patient is an inseparable part of  bariatric procedures, there is also a  need for multi-disciplinary management after bariatric surgery. This should include surveillance by an internist, surgeon and registered dietician. However, treatment outcome is primarily dependent on the  patient’s compliance and awareness of  the  need for regular follow-up. This cannot be achieved without proper behavioral and psychological support, as it is as vital as other surveillance aspects. In this review we discuss early and late complications of  bariatric surgery, its influence on obesity-related diseases, and changes in body composition and metabolism. According to recent guidelines and recommendations of  American and European medical societies, we summarize available standards of  post-bariatric management.",
author="Handzlik-Orlik, Gabriela
and Holecki, Michał T.
and Kędzierski, Leszek
and Wyleżoł, Mariusz
and Duława, Jan",
pages="28--36",
doi="10.5114/noms.2016.62641",
url="http://dx.doi.org/10.5114/noms.2016.62641"
}