Table 9.
Monitoring of patients following bariatric surgery60
| Clinical Practice | RYGB | LSG | LAGB |
|---|---|---|---|
| Visit interval | |||
| Immediately post-procedure (first three months) | Monthly | Monthly | Monthly |
| During active weight-loss (up to 12–18 months) | 3 months | 3–6 months | 3–6 months |
| Once weight stable | 6–12 months | 12 months | 12 months |
|
| |||
| Consider gout and gallstone prophylaxis | 0–12 months | 0–6 months | 1–6 months |
|
| |||
| Recommended at 3 months, 6 months, then annually thereafter: | |||
| Complete blood count | x | x | x |
| Electrolytes, AST/ALT, alk phos, bilirubin, and albumin | x | x | x |
| Glucose and hemoglobin A1C | x | x | x |
| Iron studies, ferritin (in males, check only until stable) | x | x | x |
| Vitamin B12, folate, and thiamine | x | x | x |
| Lipid profile | x | x | x |
| 25-hydroxyvitamin D, parathyroid hormone (intact PTH) | x | x | x |
| Zinc, copper | x | x | – |
|
| |||
| Bone densitometry every 1–2 years | x | x | x |
Abbreviations: RYGB = Roux-en-Y Gastric Bypass, LSG = laparoscopic sleeve gastrectomy, LABG = laparoscopic adjustable gastric band, AST = aspartate aminotransferase, ALT = alanine aminotransferase, alk phos = alkaline phosphatase, PTH = parathyroid hormone