The First Modified Delphi Consensus-Building Exercise on Surgical Ward Rounds in the United Kingdom National Health Service.

Background: The ward round is an integral part of everyday surgical practice. It is a complex clinical activity that requires both sound clinical management and communication skills. This study reports the results of a consensus-building exercise on the common aspects of the general surgical ward rounds.

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

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.

Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery.

Background: Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients' perspectives on the reasons behind poor adherence and how to address it.

Methods: Bariatric surgery patients living in the UK were invited to take part in an anonymous survey on SurveyMonkey®.

Exploring the Patient-Reported Impact of the Pharmacist on Pre-bariatric Surgical Assessment.

Background: The effects of surgical procedures and the need for life-long nutrient supplementation may impact on medication regimes, requiring changes to dosage and formulation of medicines, which can be difficult for patients following surgery. Our pre-surgical assessment pathway involves a pharmacist with specialist knowledge of bariatric surgery, to help prepare patients for these changes.

Objective: To explore the patient-reported impact of the specialist bariatric pharmacist in pre-surgical assessment.

Oral Vitamin B Supplementation After Roux-en-Y Gastric Bypass: a Systematic Review.

Background: Many respectable guidelines recommend lifelong vitamin B injections for Roux-en-Y gastric bypass (RYGB) patients in the absence of lack of consensus on the efficacy of oral route of prophylaxis and the appropriate doses needed for this purpose. The purpose of this review was to examine the published English language scientific literature in accordance with PRISMA principles to find out if orally given vitamin B is adequate for prophylactic purposes in RYGB patients and the appropriate dosages needed for this purpose if it is.

Methods: We examined the PubMed database for all English language articles examining various doses of oral vitamin B supplementation after proximal RYGB in adult patients.