Abstract

Introduction
Bariatric Surgery is unique in terms of anatomical changes imposing a resetting of the physiological milieu. Although many changes are beneficial, adverse effects, complications and impact on psychological wellbeing may occur. Healthcare professionals need to be aware of the impact of these changes and respond appropriately. The aim of the review was to analyse the existing corpus of literature and identify areas to inform a future long-term follow-up strategy for post-surgical patients.

Methods
A narrative review was carried out, allowing a wide range of inclusion criteria across a broad range of topics. Two independent literature searches were carried out using PubMed.

Results
Searches returned 49 results. Critical analysis of the literature was carried out, with consensus reached on topics of relevance and importance to post-bariatric surgery long-term follow up.

Conclusions
This review highlights twelve common issues that bariatric patients may face after surgery, to facilitate prompt diagnosis and treatment, to inform Primary Care professionals to deal with presenting symptoms and ensure appropriate action to inform best possible treatment and outcomes. We recommend these areas are discussed further with the responsibility of follow-up, frequency of follow up, and patient education taken into consideration when planning post-bariatric care and support.