Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation

Bariatric surgery (BS) is one of the most common and efficient surgical procedures for sustained weight loss but is associated with long-term complications such as nutritional deficiencies, biliary lithiasis, disturbances in bone and mineral metabolism and an increased risk of nephrolithiasis, attri...

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Main Authors: Milene S. Ormanji, Fernanda G. Rodrigues, Ita P. Heilberg
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/5/1442
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author Milene S. Ormanji
Fernanda G. Rodrigues
Ita P. Heilberg
author_facet Milene S. Ormanji
Fernanda G. Rodrigues
Ita P. Heilberg
author_sort Milene S. Ormanji
collection DOAJ
description Bariatric surgery (BS) is one of the most common and efficient surgical procedures for sustained weight loss but is associated with long-term complications such as nutritional deficiencies, biliary lithiasis, disturbances in bone and mineral metabolism and an increased risk of nephrolithiasis, attributed to urinary metabolic changes resultant from low urinary volume, hypocitraturia and hyperoxaluria. The underlying mechanisms responsible for hyperoxaluria, the most common among all metabolic disturbances, may comprise increased intestinal oxalate absorption consequent to decreased calcium intake or increased dietary oxalate, changes in the gut microbiota, fat malabsorption and altered intestinal oxalate transport. In the current review, the authors present a mechanistic overview of changes found after BS and propose dietary recommendations to prevent the risk of urinary stone formation, focusing on the role of dietary oxalate, calcium, citrate, potassium, protein, fat, sodium, probiotics, vitamins D, C, B6 and the consumption of fluids.
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spelling doaj.art-bd3fa677c99d4aa095544edc4eb088822023-11-20T00:41:31ZengMDPI AGNutrients2072-66432020-05-01125144210.3390/nu12051442Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone FormationMilene S. Ormanji0Fernanda G. Rodrigues1Ita P. Heilberg2Nephrology Division, Universidade Federal de São Paulo, São Paulo 04023-062, BrazilNephrology Division, Universidade Federal de São Paulo, São Paulo 04023-062, BrazilNephrology Division, Universidade Federal de São Paulo, São Paulo 04023-062, BrazilBariatric surgery (BS) is one of the most common and efficient surgical procedures for sustained weight loss but is associated with long-term complications such as nutritional deficiencies, biliary lithiasis, disturbances in bone and mineral metabolism and an increased risk of nephrolithiasis, attributed to urinary metabolic changes resultant from low urinary volume, hypocitraturia and hyperoxaluria. The underlying mechanisms responsible for hyperoxaluria, the most common among all metabolic disturbances, may comprise increased intestinal oxalate absorption consequent to decreased calcium intake or increased dietary oxalate, changes in the gut microbiota, fat malabsorption and altered intestinal oxalate transport. In the current review, the authors present a mechanistic overview of changes found after BS and propose dietary recommendations to prevent the risk of urinary stone formation, focusing on the role of dietary oxalate, calcium, citrate, potassium, protein, fat, sodium, probiotics, vitamins D, C, B6 and the consumption of fluids.https://www.mdpi.com/2072-6643/12/5/1442nephrolithiasisbariatric surgeryhyperoxaluriakidney stonesdiet
spellingShingle Milene S. Ormanji
Fernanda G. Rodrigues
Ita P. Heilberg
Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation
Nutrients
nephrolithiasis
bariatric surgery
hyperoxaluria
kidney stones
diet
title Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation
title_full Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation
title_fullStr Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation
title_full_unstemmed Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation
title_short Dietary Recommendations for Bariatric Patients to Prevent Kidney Stone Formation
title_sort dietary recommendations for bariatric patients to prevent kidney stone formation
topic nephrolithiasis
bariatric surgery
hyperoxaluria
kidney stones
diet
url https://www.mdpi.com/2072-6643/12/5/1442
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