Elif Oral, M.D.
Andrew Kraftson, M.D.
Angela Subauste, M.D.
Post-Bariatric Surgery Clinic provides specialty care, prevention of metabolic issues
A new Post-Bariatric Surgery Clinic is available to help with ongoing care for patients after their surgeons’ follow-up care has ended.
Research has shown that patients who have ongoing specialty care after bariatric surgery (with physicians who have expertise in obesity medicine and/or dietitians) do better in the long-term, with more successful weight loss.
Another concern with these patients is prevention and management of metabolic complications. For example, metabolic bone disease is common among bariatric surgery patients because their absorption of vitamin D and calcium can be affected by surgery.
Elif Oral, M.D., assistant professor of internal medicine in the Division of Metabolism, Endocrinology and Diabetes and medical director of the U-M Bariatric Surgery Program, is the clinic’s director and Andrew Kraftson, M.D., instructor in internal medicine, and Angela Subauste, M.D., assistant professor of internal medicine, are co-directors. The dietitians are Catherine Kraus and Amy Lockwood.
The clinic opened in fall 2010 and is located in Domino’s Farms, Lobby C in the Metabolism, Endocrinology and Diabetes Clinic site.
”It may take as much as 12 to 18 months for complications to set in, especially if the patients neglect to take their supplements,” says Oral. “Occasionally, problems with hypoglycemia are seen too.”
The U-M is unique among follow-up programs for bariatric patients due to the close relationship between the surgeons (led by Dr. Jonathan Finks) and endocrinologists who specialize in metabolism.
U-M performs three types of laparoscopic bariatric surgery: gastric bypass, adjustable gastric banding, and sleeve gastrectomy. The U-M Bariatric Surgery Program also runs a collaborative of all bariatric surgery programs throughout the state of Michigan. Patients who come through any bariatric surgery program in Michigan can be referred to the Post-Bariatric Surgery Clinic for follow-up care or can self-refer if their insurance allows it.
For appointments, call 866-266-5221.