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Review

Perioperative management of bariatric surgery patients: Focus on metabolic bone disease

Susan E. Williams, MD, MS, RD, CNSP, CCD, Karen Cooper, DO, Bradford Richmond, MD and Philip Schauer, MD
Cleveland Clinic Journal of Medicine May 2008, 75 (5) 333-349;
Susan E. Williams
Director, Center for Nutrition and Metabolic Medicine, Greene Memorial Hospital Advanced Medical Group, Xenia, OH
Assistant Professor of Clinical Medicine, Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH
Chair-elect, Certification Council, International Society of Clinical Densitometry
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  • For correspondence: [email protected]
Karen Cooper
Bariatric and Metabolic Institute, Cleveland Clinic
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Bradford Richmond
Director, Musculoskeletal Radiology Fellowship Program, Department of Diagnostic Radiology, Cleveland Clinic
Associate Profesor of Radiology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
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Philip Schauer
Director, Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic Institute, Cleveland Clinic
Professor of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
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ABSTRACT

Chronic 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.

Footnotes

  • ↵* Dr. Richmond has disclosed that he has received honoraria from Procter and Gamble for teaching and speaking. Dr. Schauer has disclosed that he is a consultant for or on the scientific advisory boards of Bard-Davol, Barosense, Baxter, Ethicon Endosurgery, Gore, and Stryker Endoscopy; is on the board of directors and is a partner in Remedy MD; and has received grant support from Invacare.

  • Copyright © 2008 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 75 (5)
Cleveland Clinic Journal of Medicine
Vol. 75, Issue 5
1 May 2008
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Perioperative management of bariatric surgery patients: Focus on metabolic bone disease
Susan E. Williams, Karen Cooper, Bradford Richmond, Philip Schauer
Cleveland Clinic Journal of Medicine May 2008, 75 (5) 333-349;

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Perioperative management of bariatric surgery patients: Focus on metabolic bone disease
Susan E. Williams, Karen Cooper, Bradford Richmond, Philip Schauer
Cleveland Clinic Journal of Medicine May 2008, 75 (5) 333-349;
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