ABSTRACT

With the rising epidemic of obesity in the United States, bariatric surgery has become a valuable option to achieve sustained weight loss and decrease the burden of metabolic comorbidities, such as diabetes and hyperlipidemia. It is recommended for patients with BMI > 40 kg/m2 and BMI > 35 kg/m2 with comorbidities related to obesity [1]. More than 100,000 weight loss procedures are performed annually in the United States [2]. Advancements in the surgical techniques resulted in the lowering of overall mortality rates in the immediate postoperative period [3]. However, as postoperative time elapses, the risks of nutritional deciencies increase, especially in patients without close metabolic monitoring.