Nutrition and the Sleeve Gastrectomy Patient: From Micronutrients to Dietary Patterns
bariatrictimes.com/2011/06/07/nutrition-and-the-sleeve-gastr ectomy-patient-from-micronutrients-to-dietary-patterns/
This article presents two perspectives on the latest data available regarding the nutritional needs of sleeve gastrectomy patients. Part 1 reviews the available data on the micronutrient status of these patients, including data on B12, folate, iron, and other nutrients, as well as discusses possible causes of deficiency in this patient population. Part 2 reviews the available data on eating patterns, food tolerance, and food intake in sleeve gastrectomy patients, and also provides examples of food intake progression currently recommended for these patients.
This article presents two perspectives on the latest data available regarding the nutritional needs of sleeve gastrectomy patients. Part 1 reviews the available data on the micronutrient status of these patients, including data on B12, folate, iron, and other nutrients, as well as discusses possible causes of deficiency in this patient population. Part 2 reviews the available data on eating patterns, food tolerance, and food intake in sleeve gastrectomy patients, and also provides examples of food intake progression currently recommended for these patients.
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Very fascinating--thanx. I had an advertisement over the info on dietary problems and vitamins, but could read the data on the rats and why the surgery works. I esp found this interesting:
"The majority of evidence points to these changes in gut peptides causing a quickening of meal transit time and an increase in both satiety and duration of satiation.
In response to studies that fail to show more rapid gastric emptying, Gagner[29] argues that these results may be influenced by the size of the bougie used to create the sleeve or by the length of the antrum that is remaining.
If there is, indeed more rapid gastric emptying, there is quicker feedback from ingested food reaching the distal small bowel. This is known as the “ileal brake" and is part of the hindgut hypothesis."
This would go against everything we have learned about trying to keep the food in our stomach for the longest time and not drinking fluids or things that would make the food "slide" more easily. This article says that increased stomach emptying leads to the "ileal brake" which depresses appetite. Hmmm--maybe new research will rewrite the post-op rules. As an aside, my physician was one of the few docs on here that told me drinking fluids with meals was ok---so go figure. I read so much on here about NOT drinking with meals that I caved and now do not drink with meals.
"The majority of evidence points to these changes in gut peptides causing a quickening of meal transit time and an increase in both satiety and duration of satiation.
In response to studies that fail to show more rapid gastric emptying, Gagner[29] argues that these results may be influenced by the size of the bougie used to create the sleeve or by the length of the antrum that is remaining.
If there is, indeed more rapid gastric emptying, there is quicker feedback from ingested food reaching the distal small bowel. This is known as the “ileal brake" and is part of the hindgut hypothesis."
This would go against everything we have learned about trying to keep the food in our stomach for the longest time and not drinking fluids or things that would make the food "slide" more easily. This article says that increased stomach emptying leads to the "ileal brake" which depresses appetite. Hmmm--maybe new research will rewrite the post-op rules. As an aside, my physician was one of the few docs on here that told me drinking fluids with meals was ok---so go figure. I read so much on here about NOT drinking with meals that I caved and now do not drink with meals.
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