Bone Health after Bariatric Surgery

Shahraki, Masood Sayadi; Mahmoudieh, Mohsen; Kalidari, Behrouz; Melali, Hamid; Mousavi, Maryam; Abadi, Mohammad Raisi Ghourban; Mirhosseini, Seyed Hossein; Dehabadi, Seyed Ali Mirhosseini

doi:10.4103/abr.abr_182_21

Cited by 12 publications

(4 citation statements)

References 199 publications

(235 reference statements)

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“…Um die Knochengesundheit postoperativ bestmöglich zu erhalten, kann präoperativ eine Knochendichtemessung zur Evaluation einer Beeinträchtigung der Knochenstabilität durchgeführt werden. Außerdem wird empfohlen, knochenrelevante Parameter (Kalzium, Parathormon, Albumin, Vitamin D) präoperativ zu messen, um präoperative Mängel von Elektrolyten und Vitaminen, wenn notwendig, schon im Vorfeld zu substituieren [ 32 ].…”

Section: Optionale Untersuchungen Vor Bariatrischer Operationunclassified

Indikation und präoperative Planung zur bariatrischen Operation

Felsenreich,

Malzner,

Eichner

et al. 2023

Wien Klin Wochenschr

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ZusammenfassungDieser Text stellt eine Handlungsanleitung dar, welche im Konsens mehrerer österreichischer mit der Therapie von Adipositas assoziierter FachärztInnen erstellt wurde. Dabei wurde neben aktueller Literatur und bestehenden Guidelines auch zwischen Machbarkeit von ärztlicher Seite und Zumutbarkeit gegenüber den PatientInnen abgewogen. Besonderer Wert wurde auf Vereinfachung der präoperativen Abklärung bei maximaler Sicherheit gelegt. Daher stellt dieser Text keinen Anspruch auf Vollständigkeit in allen Bereichen.

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Section: Optionale Untersuchungen Vor Bariatrischer Operationunclassified

Indikation und präoperative Planung zur bariatrischen Operation

Felsenreich,

Malzner,

Eichner

et al. 2023

Wien Klin Wochenschr

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“…One randomized controlled trial did not observe increased risk after bariatric surgery [86] . The Swedish Obesity Subjects study compared three techniques with a medical control group with up to 26 years of follow-up [87] . It showed an increased risk of fracture after RYGB compared with the control.…”

Section: Bone Fracturesmentioning

confidence: 99%

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Harrington,

Kang,

Telesca

et al. 2023

Metab Target Organ Damage

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The increasing prevalence of worldwide obesity calls for a comprehensive understanding of available treatment options. Bariatric surgery remains a very effective obesity treatment, showing substantial effects on obesity-related complications, including type 2 diabetes mellitus and cardiovascular disease, mainly related to significant long-term weight loss. Besides the benefits, weight loss can lead to some deleterious consequences, such as gallstones, constipation, muscle mass loss, bone fractures, vitamin deficiencies, peripheral neural palsy, suicide, eating disorders, alcohol dependency syndrome, and increased divorce. Those consequences may also be seen after long-term effective pharmacotherapy for obesity. Understanding these risks will lead to improved awareness and successful treatment with both surgical and nonsurgical treatments.

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“…Bariatric surgery can reverse and/or lessen the severity of diabetes [ 4 ] and hypertension [ 5 ], and cardiovascular disease [ 6 ]. However, bariatric surgery is also associated with an excess risk of certain adverse outcomes, including venous thrombosis, reactive hypoglycemia [ 7 ], nephrolithiasis [ 8 ], fractures [ 9 ], depression, alcohol misuse, and suicide [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Long-term clinical outcomes of bariatric surgery in adults with severe obesity: A population-based retrospective cohort study

Wiebe,

Tonelli

2024

PLoS ONE

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Background Bariatric surgery leads to sustained weight loss in a majority of recipients, and also reduces fasting insulin levels and markers of inflammation. We described the long-term associations between bariatric surgery and clinical outcomes including 30 morbidities. Methods We did a retrospective population-based cohort study of 304,157 adults with severe obesity, living in Alberta, Canada; 6,212 of whom had bariatric surgery. We modelled adjusted time to mortality, hospitalization, surgery and the adjusted incidence/prevalence of 30 new or ongoing morbidities after 5 years of follow-up. Results Over a median follow-up of 4.4 years (range 1 day-22.0 years), bariatric surgery was associated with increased risk of hospitalization (HR 1.46, 95% CI 1.41,1.51) and additional surgery (HR 1.42, 95% CI 1.32,1.52) but with a decreased risk of mortality (HR 0.76, 95% CI 0.64,0.91). After 5 years (median of 9.9 years), bariatric surgery was associated with a lower risk of severe chronic kidney disease (HR 0.45, 95% CI 0.27,0.75), coronary disease (HR 0.49, 95% CI 0.33,0.72), diabetes (HR 0.51, 95% CI 0.47,0.56), inflammatory bowel disease (HR 0.55, 95% CI 0.37,0.83), hypertension (HR 0.70, 95% CI 0.66,0.75), chronic pulmonary disease (HR 0.75, 95% CI 0.66,0.86), asthma (HR 0.79, 95% 0.65,0.96), cancer (HR 0.79, 95% CI 0.65,0.96), and chronic heart failure (HR 0.79, 95% CI 0.64,0.96). In contrast, after 5 years, bariatric surgery was associated with an increased risk of peptic ulcer (HR 1.99, 95% CI 1.32,3.01), alcohol misuse (HR 1.55, 95% CI 1.25,1.94), frailty (HR 1.28, 95% 1.11,1.46), severe constipation (HR 1.26, 95% CI 1.07,1.49), sleep disturbance (HR 1.21, 95% CI 1.08,1.35), depression (HR 1.18, 95% CI 1.10,1.27), and chronic pain (HR 1.12, 95% CI 1.04,1.20). Interpretation Bariatric surgery was associated with lower risks of death and certain morbidities. However, bariatric surgery was also associated with increased risk of hospitalization and additional surgery, as well as certain other morbidities. Since values and preferences for these various benefits and harms may differ between individuals, this suggests that comprehensive counselling should be offered to patients considering bariatric surgery.

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Bone Health after Bariatric Surgery

Cited by 12 publications

References 199 publications

Indikation und präoperative Planung zur bariatrischen Operation

Indikation und präoperative Planung zur bariatrischen Operation

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Long-term clinical outcomes of bariatric surgery in adults with severe obesity: A population-based retrospective cohort study

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