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Evaluating a potential role for community pharmacists in post-bariatric patient nutritional support

Graham, Yitka, Earl-Sinha, Charlotte, Parkin, Lindsay, Callejas-Diaz, Lindes, Fox, Ann, Tierney, Callum, Mahawar, Kamal and Hayes, Catherine (2020) Evaluating a potential role for community pharmacists in post-bariatric patient nutritional support. Clinical Obesity. ISSN 1758-8111

Item Type: Article


Physiological changes to the body from bariatric surgery necessitate lifelong vitamin and mineral supplementation to prevent potential nutritional deficiencies. Presently, there is no consensus on appropriate long-term follow-up in community settings for people who have undergone bariatric surgery. Current UK guidelines recommend annual monitoring of nutritional status, but little else.
Semi-structured interviews were carried out with members of a high volume bariatric surgical unit and community pharmacists working in a variety of settings and locations. Data were collected between June - August 2018 and analysed using a thematic analytic framework.
Twenty-five participants were recruited. Bariatric staff (n=9) reported negligible interaction with community pharmacists but felt establishing communication, and developing a potential pathway to collaborate, would provide additional support and potentially improved levels of patient compliance. Community pharmacists (n=16) reported poor knowledge of bariatric surgery, indicating they were unable to routinely identify people who had bariatric surgery, but understood issues with absorption of vitamins.
There is evident potential to involve community pharmacists in post-bariatric patient care pathways. Pharmacists possess knowledge of absorption and metabolism of supplements which could be used to actively support people who have had bariatric surgery in their changed physiological status. Education ought to focus on the functional impact of bariatric surgical procedures and interventions and the consequent nutritional recommendations required. Communication between bariatric units and community pharmacies is needed to construct a clear and formalised infrastructure of support, with remuneration for pharmacy specialist expertise agreed to ensure both financial viability and sustainability.

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More Information

Depositing User: Yitka Graham


Item ID: 11935
Identification Number:
ISSN: 1758-8111
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD
ORCID for Catherine Hayes: ORCID iD

Catalogue record

Date Deposited: 20 Apr 2020 13:14
Last Modified: 30 Sep 2020 11:01


Author: Yitka Graham ORCID iD
Author: Catherine Hayes ORCID iD
Author: Charlotte Earl-Sinha
Author: Lindsay Parkin
Author: Lindes Callejas-Diaz
Author: Ann Fox
Author: Callum Tierney
Author: Kamal Mahawar

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Nursing

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