DIETETIC AND CLINICAL NUTRITION I Single channel

Chair (Coordinator) and Rapporteur: FRANCESCO MARIA CARRANO

Module 1: APPLIED DIETARY SCIENCES

Activity type
Scienze della dietistica
SSD
MED/49
Year
3rd year
Semester
1st semester
CFU
2
Hours distribution
20 classroom hours
Lecturers
Andrea Salandri

Module 2: ENDOCRINOLOGY

Activity type
Scienze interdisciplinari cliniche
SSD
MED/13
Year
3rd year
Semester
1st semester
CFU
1
Hours distribution
10 classroom hours
Lecturers
STEFANIA MARIANI

Module 3: GENERAL SURGERY

Activity type
Scienze medico-chirurgiche
SSD
MED/18
Year
3rd year
Semester
1st semester
CFU
1
Hours distribution
10 classroom hours
Lecturers
FRANCESCO MARIA CARRANO

Module 4: GYNECOLOGY AND OBSTETRICS

Activity type
Scienze medico-chirurgiche
SSD
MED/40
Year
3rd year
Semester
1st semester
CFU
1
Hours distribution
10 classroom hours
Lecturers
Cosimo Oliva

Module 5: PEDIATRICS

Activity type
Scienze della dietistica
SSD
MED/38
Year
3rd year
Semester
1st semester
CFU
2
Hours distribution
20 classroom hours
Lecturers
Franca Faraoni

Learning outcomes

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
N/D
Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Prerequisites

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
The course aims to provide students with the fundamental knowledge of general surgery relevant to dietetic practice. At the end of the course, students will be able to:

Understand the pathophysiological basis and surgical management of major diseases of the gastrointestinal tract, hepatopancreatobiliary system, endocrine organs, and abdominal wall.

Recognize the role of nutrition in the perioperative management of surgical patients.

Correlate surgical pathology with dietetic assessment and dietary interventions before and after surgery.

Communicate effectively with the surgical team, demonstrating interdisciplinary awareness.

Prerequisites
The course requires prior knowledge of human anatomy, physiology, and general pathology, which are considered essential for the effective study and understanding of surgical diseases. Recommended background includes basic biochemistry and nutrition.


Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Programme

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
Introduction to Bariatric and Metabolic Surgery

Epidemiology of obesity and indications for surgery

Role of the multidisciplinary team (surgeon, dietitian, psychologist, internist)

Surgical Techniques in Bariatric Surgery

Sleeve gastrectomy

Roux-en-Y gastric bypass

One-anastomosis gastric bypass

Biliopancreatic diversion / duodenal switch

Revisional bariatric surgery

Physiological and Nutritional Implications

Anatomical and physiological changes after bariatric surgery

Impact on nutrient absorption and metabolism

Hormonal changes and metabolic effects

Perioperative Nutritional Management

Preoperative assessment: malnutrition, micronutrient deficiencies, and preparation for surgery

Postoperative diet progression: liquid, pureed, soft, and solid diet phases

Long-term dietary guidelines and lifestyle modifications

Complications and Nutritional Consequences

Early surgical complications (leaks, bleeding, strictures) and their nutritional implications

Late complications: dumping syndrome, marginal ulcers, internal hernias

Micronutrient deficiencies (iron, vitamin B12, folate, calcium, vitamin D, trace elements)

Protein-energy malnutrition

Special Considerations

Nutritional management during pregnancy after bariatric surgery

Bariatric surgery in elderly patients

Long-term follow-up and role of dietitians in patient care


Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Books

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
Bariatric surgery syllabus. Instructor-provided lecture slides and additional materials are integral parts of the course.


Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Bibliography

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
Bariatric Surgery: A Primer for Your Medical Practice – Buchwald H, et al.

Handbook of Nutrition and Bariatric Surgery – Shikora SA, Blackburn GL.

Clinical Practice Guidelines (IFSO, EASO, ASMBS, SICOB).


Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Lessons mode

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
The course will be delivered through frontal lectures supported by multimedia presentations and dedicated teaching materials. Clinical cases and examples of surgical images/videos will be presented to strengthen the connection between theoretical knowledge and professional practice. Student participation will be encouraged through guided discussion.


Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Frequency

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
N/D
Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Exam mode

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
The final evaluation will consist of:

Oral examination, aimed at assessing theoretical knowledge and its application through the discussion of clinical cases relevant to bariatric surgery and dietetic practice.

Active participation in class discussions may be taken into consideration.


Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Example exam questions

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY
N/D
Module: GENERAL SURGERY
N/D
Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

Arguments

Module: APPLIED DIETARY SCIENCES
N/D
Module: ENDOCRINOLOGY

  • For the first 5 hours block:- multidisciplinary treatment of malnutrition due to excess (obesity) and deficiency (anorexia) and related conditions; - surgical treatment of malnutrition due to excess. Bariatric surgery: malabsorption, hypovitaminosis, diabetes remission... dietary management of the post-bariatric patient; - pathophysiology of major endocrine diseases; endocrine-metabolic diseases requiring dietary treatment: foundations for developing dietary therapy.
    • Books: Teaching materials provided by the teacher and sections of the reference texts indicated during lessons.

  • For the second 5-hour block:-     Ketogenic diet for obesity. Management of patients with dyslipidemia, diabetes, osteoporosis, hepatic steatosis, hypogonadism (abnormal adipose tissue distribution, e.g., gynoid pattern in males), PCOS, and thyroid disorders (hyperthyroidism, hypothyroidism).-       Assessment of dietary and nutritional risk and protective factors related to primary, secondary, and tertiary prevention in the field of endocrinology.
    • Books: Teaching materials provided by the teacher and sections of the reference texts indicated during lessons.



Module: GENERAL SURGERY
N/D
Module: GYNECOLOGY AND OBSTETRICS
N/D
Module: PEDIATRICS
N/D

  • Academic year2026/2027
  • Degree program to which the course belongsDietistic - ASL Rieti
  • Languageita
  • CFU7 CFU, distributed among 5 integrated didactic modules
  • Total duration70 hours