PT  - JOURNAL ARTICLE
AU  - Williams, Susan E.
AU  - Cooper, Karen
AU  - Richmond, Bradford
AU  - Schauer, Philip
TI  - Perioperative management of bariatric surgery patients: Focus on metabolic bone disease
DP  - 2008 May 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 333--349
VI  - 75
IP  - 5
4099  - http://www.ccjm.org/content/75/5/333.short
4100  - http://www.ccjm.org/content/75/5/333.full
SO  - Cleve Clin J Med2008 May 01; 75
AB  - 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.