{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:39:00Z","timestamp":1790264340008,"version":"4.1.0"},"reference-count":123,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,10,14]],"date-time":"2010-10-14T00:00:00Z","timestamp":1287014400000},"content-version":"vor","delay-in-days":43,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Mount Sinai J Medicine"],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Bariatric surgery is an effective treatment option for obesity. Commonly utilized procedures are either restrictive, malabsorptive, or both. Substantial weight loss can be achieved. Postoperatively, patients experience nutritional, metabolic, and hormonal changes that have important clinical implications. The postoperative diet should be advanced carefully, according to protocol. Micronutrient deficiencies such as vitamin C, vitamin A, and zinc deficiencies are common, especially following malabsorptive procedures. Bone metabolism is greatly affected, in part due to vitamin D deficiency, decreased calcium absorption, and secondary hyperparathyroidism. Diabetes improves acutely in malabsorptive procedures and in sequence with weight loss in restrictive procedures. Polycystic ovarian syndrome improves in nearly all women with this condition who undergo bariatric surgery. Testosterone levels in men also improve after surgery. Consideration of these nutritional, metabolic, and hormonal changes allows for optimal medical management following bariatric surgery. Mt Sinai J Med 77:431\u2013445, 2010. \u00a9 2010 Mount Sinai School of Medicine<\/jats:p>","DOI":"10.1002\/msj.20211","type":"journal-article","created":{"date-parts":[[2010,10,14]],"date-time":"2010-10-14T19:45:48Z","timestamp":1287085548000},"page":"431-445","source":"Crossref","is-referenced-by-count":35,"title":["Metabolic Management following Bariatric Surgery"],"prefix":"10.1002","volume":"77","author":[{"given":"Erika","family":"Strohmayer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Via","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Yanagisawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,10,14]]},"reference":[{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.2014"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa066603"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa066254"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2008.244"},{"issue":"2","key":"e_1_2_12_6_2","doi-asserted-by":"crossref","first-page":"615S","DOI":"10.1093\/ajcn\/55.2.615s","article-title":"Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement","volume":"55","year":"1992","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.15.1909"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/msj.20114"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.09.041"},{"issue":"1","key":"e_1_2_12_10_2","first-page":"S1","article-title":"American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient","volume":"17","author":"Mechanick JI","year":"2009","journal-title":"Obesity (Silver Spring)"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8529(03)00002-1"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322009001100004"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.580"},{"issue":"5","key":"e_1_2_12_14_2","doi-asserted-by":"crossref","first-page":"S109","DOI":"10.1016\/j.soard.2008.08.009","article-title":"American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient [published correction appears in","volume":"4","author":"Mechanick JI","year":"2008","journal-title":"Surg Obes Relat Dis"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089296765556368"},{"key":"e_1_2_12_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2009.148"},{"key":"e_1_2_12_17_2","doi-asserted-by":"publisher","DOI":"10.1381\/0960892053268264"},{"key":"e_1_2_12_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200604000-00009"},{"key":"e_1_2_12_19_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089204322857528"},{"key":"e_1_2_12_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(01)00022-1"},{"key":"e_1_2_12_21_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089202762252334"},{"key":"e_1_2_12_22_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089295765557683"},{"key":"e_1_2_12_23_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089204322917828"},{"key":"e_1_2_12_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0115426503018002141"},{"key":"e_1_2_12_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/00075197-200409000-00010"},{"key":"e_1_2_12_26_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.2.481"},{"key":"e_1_2_12_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9545-4"},{"key":"e_1_2_12_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-007-9349-y"},{"key":"e_1_2_12_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-007-9350-5"},{"key":"e_1_2_12_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/09637480220132814"},{"key":"e_1_2_12_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/1028415X.2001.11747346"},{"key":"e_1_2_12_32_2","doi-asserted-by":"publisher","DOI":"10.4158\/EP.13.2.131"},{"key":"e_1_2_12_33_2","doi-asserted-by":"publisher","DOI":"10.1159\/000094932"},{"key":"e_1_2_12_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2005.12.001"},{"key":"e_1_2_12_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9571-2"},{"key":"e_1_2_12_36_2","doi-asserted-by":"publisher","DOI":"10.1159\/000185641"},{"key":"e_1_2_12_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70187-0"},{"key":"e_1_2_12_38_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089295765557953"},{"key":"e_1_2_12_39_2","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1177\/000313480607201209","article-title":"Incidence of vitamin deficiency after laparoscopic Roux\u2010en\u2010Y gastric bypass in a university hospital setting","volume":"72","author":"Clements RH","year":"2006","journal-title":"Am Surg"},{"key":"e_1_2_12_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000216773.47825.c1"},{"key":"e_1_2_12_41_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2003-031756"},{"key":"e_1_2_12_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-007-9408-4"},{"key":"e_1_2_12_43_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089202321019693"},{"key":"e_1_2_12_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.07.012"},{"key":"e_1_2_12_45_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089292765559936"},{"key":"e_1_2_12_46_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2008-0481"},{"key":"e_1_2_12_47_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.639"},{"key":"e_1_2_12_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-003-0083-1"},{"key":"e_1_2_12_49_2","doi-asserted-by":"publisher","DOI":"10.1381\/0960892041975505"},{"key":"e_1_2_12_50_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089204772787211"},{"key":"e_1_2_12_51_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/72.3.690"},{"key":"e_1_2_12_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.09.023"},{"key":"e_1_2_12_53_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9228-6"},{"key":"e_1_2_12_54_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-009-0024-3"},{"key":"e_1_2_12_55_2","doi-asserted-by":"publisher","DOI":"10.4158\/EP.10.3.195"},{"key":"e_1_2_12_56_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200502000-00001"},{"key":"e_1_2_12_57_2","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp060033"},{"key":"e_1_2_12_58_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198507113130202"},{"key":"e_1_2_12_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.01.015"},{"key":"e_1_2_12_60_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.07.044"},{"key":"e_1_2_12_61_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002194"},{"key":"e_1_2_12_62_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.029"},{"key":"e_1_2_12_63_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02940608"},{"key":"e_1_2_12_64_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2005.07.002"},{"key":"e_1_2_12_65_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.07.041"},{"key":"e_1_2_12_66_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198709000-00009"},{"key":"e_1_2_12_67_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199509000-00011"},{"key":"e_1_2_12_68_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.SLA.0000071560.76194.11"},{"key":"e_1_2_12_69_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(97)80112-6"},{"key":"e_1_2_12_70_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.10.2406"},{"key":"e_1_2_12_71_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9531-x"},{"key":"e_1_2_12_72_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0715-9"},{"key":"e_1_2_12_73_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000089851.41115.1b"},{"key":"e_1_2_12_74_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.07.016"},{"key":"e_1_2_12_75_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9547-2"},{"key":"e_1_2_12_76_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa035622"},{"key":"e_1_2_12_77_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.299.3.316"},{"key":"e_1_2_12_78_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-9-200605020-00005"},{"key":"e_1_2_12_79_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9435-9"},{"key":"e_1_2_12_80_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089206778870085"},{"key":"e_1_2_12_81_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.05.036"},{"key":"e_1_2_12_82_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-007-0319-4"},{"key":"e_1_2_12_83_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-1314"},{"key":"e_1_2_12_84_2","doi-asserted-by":"publisher","DOI":"10.2337\/diabetes.52.5.1098"},{"key":"e_1_2_12_85_2","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2009.254"},{"key":"e_1_2_12_86_2","doi-asserted-by":"publisher","DOI":"10.1381\/0960892053723402"},{"key":"e_1_2_12_87_2","doi-asserted-by":"publisher","DOI":"10.1210\/en.2009-0367"},{"key":"e_1_2_12_88_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318156f012"},{"key":"e_1_2_12_89_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012908"},{"key":"e_1_2_12_90_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181ae32e3"},{"key":"e_1_2_12_91_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.4.375"},{"key":"e_1_2_12_92_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2605.2009.01017.x"},{"key":"e_1_2_12_93_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-1385"},{"key":"e_1_2_12_94_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1993.tb43859.x"},{"key":"e_1_2_12_95_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2004-1045"},{"key":"e_1_2_12_96_2","volume-title":"Williams Textbook of Endocrinology","author":"Kronenberg H","year":"2008"},{"key":"e_1_2_12_97_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.02.104"},{"key":"e_1_2_12_98_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2005-1490"},{"key":"e_1_2_12_99_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2005.02.008"},{"key":"e_1_2_12_100_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2006.12.002"},{"key":"e_1_2_12_101_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089206778870148"},{"key":"e_1_2_12_102_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349509009942"},{"key":"e_1_2_12_103_2","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.1988.10720232"},{"key":"e_1_2_12_104_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.06.046"},{"key":"e_1_2_12_105_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)91252-3"},{"key":"e_1_2_12_106_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.641"},{"key":"e_1_2_12_107_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-0709"},{"key":"e_1_2_12_108_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)00819-X"},{"key":"e_1_2_12_109_2","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2008.42"},{"key":"e_1_2_12_110_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.10.011"},{"key":"e_1_2_12_111_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000229953.76862.e5"},{"key":"e_1_2_12_112_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.78.6.1515"},{"key":"e_1_2_12_113_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1462-8902.2004.00335.x"},{"key":"e_1_2_12_114_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2003.98"},{"key":"e_1_2_12_115_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.24.2978"},{"key":"e_1_2_12_116_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.01030.x"},{"key":"e_1_2_12_117_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2008-1598"},{"key":"e_1_2_12_118_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2006.01.005"},{"key":"e_1_2_12_119_2","doi-asserted-by":"publisher","DOI":"10.1159\/000008556"},{"key":"e_1_2_12_120_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.06.042"},{"key":"e_1_2_12_121_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.08.006"},{"key":"e_1_2_12_122_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh707"},{"key":"e_1_2_12_123_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-009-0068-4"},{"key":"e_1_2_12_124_2","doi-asserted-by":"publisher","DOI":"10.1381\/096089206778026415"}],"container-title":["Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmsj.20211","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msj.20211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T12:12:48Z","timestamp":1700568768000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msj.20211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9]]},"references-count":123,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["10.1002\/msj.20211"],"URL":"https:\/\/doi.org\/10.1002\/msj.20211","archive":["Portico"],"relation":{},"ISSN":["0027-2507","1931-7581"],"issn-type":[{"value":"0027-2507","type":"print"},{"value":"1931-7581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9]]}}}