Nutritional Management and Role of Multidisciplinary Follow-Up after Endoscopic Bariatric Treatment for Obesity.
Anuradha NegiRavishankar AsokkumarRajesh RaviGontrand Lopez-NavaInmaculada BautistaPublished in: Nutrients (2022)
The prevalence of obesity has risen exponentially, and patients living with obesity suffer from its debilitating consequences. The treatment options for obesity have expanded significantly and include lifestyle changes, pharmacotherapy, endoscopic bariatric therapies (EBTs), and bariatric surgery. Endoscopic bariatric therapies comprise volume-reducing procedures such as endoscopic gastroplasty and gastric space-occupying devices such as intragastric balloons. Because of its minimally invasive nature and ease of delivery, EBTs are increasingly being adopted as a treatment option for obesity in several centers. These procedures mainly achieve weight loss by inducing early satiety and reducing meal volume. While the technical aspects of EBTs have been well explained, the nutritional management surrounding EBTs and the effectiveness of multidisciplinary team for maximizing weight loss is less described. There is considerable variation in post-EBT care between studies and centers. In this paper, we review the existing literature and share our experience on nutrition and the role of multidisciplinary management of obesity following EBT.
Keyphrases
- weight loss
- bariatric surgery
- roux en y gastric bypass
- gastric bypass
- obese patients
- weight gain
- metabolic syndrome
- ultrasound guided
- insulin resistance
- minimally invasive
- systematic review
- glycemic control
- quality improvement
- high fat diet induced
- end stage renal disease
- palliative care
- type diabetes
- healthcare
- randomized controlled trial
- chronic kidney disease
- physical activity
- newly diagnosed
- ejection fraction
- patient reported outcomes
- prognostic factors