RT Journal Article
SR Electronic
T1 Perioperative management of bariatric surgery patients: Focus on metabolic bone disease
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 333
OP 349
VO 75
IS 5
A1 Williams, Susan E.
A1 Cooper, Karen
A1 Richmond, Bradford
A1 Schauer, Philip
YR 2008
UL http://www.ccjm.org/content/75/5/333.abstract
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.