Determining the prevalence and causes of anaemia in patients after bariatric surgery in a Saudi hospital

Alwasaidi, Turki; Alahmadi, Duha K.; Alrufayi, Bashayer M.; Alaofi, Rawan K; Almutairi, Saad R.

doi:10.1016/j.jtumed.2020.02.001

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…Outra pesquisa foi realizada por Alwasaidi et al (2020) através do seguimento e da coleta de dados antropométricos e laboratoriais de 70 pacientes com idades acima de 16 anos e que realizaram cirurgia bariátrica entre fevereiro de 2016 e março de 2018, com 6 meses ou mais de pós-operatório e sob utilização de suplementos vitamínicos. Desses pacientes, 41 eram mulheres, refletindo os dados epidemiológicos de maior taxa de obesidade em mulheres.…”

Section: Resultsunclassified

Anemias e deficiências nutricionais em pacientes submetidos à gastrectomia: uma revisão integrativa

Costa

Souza

Antunes

et al. 2020

RSD

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O aumento dos índices de obesidade e a ineficácia do tratamento clínico fazem com que a busca por tratamentos cirúrgicos deva ser considerada. Ademais, tanto anemias quanto deficiências nutricionais são consequências comuns da cirurgia bariátrica. O presente estudo tem por objetivo explanar os possíveis tratamentos que buscam minimizar as alterações nutricionais e de que forma o tema vem sendo abordado em diferentes análises. A busca de artigos foi através das bases de dados PubMed e Scientific Electronic Library Online (SciELO) com a utilização dos termos “anemia and gastrectomy” e “anemia and bariatric surgery” e seus correspondentes em português. Como critérios de inclusão foram considerados: a) artigos b) estar disponível em texto completo c) estudos disponíveis nos idiomas português, inglês ou espanhol d) pesquisa clínica e) terem sido publicados entre 2015 e 2020 f) artigos que contemplem anemias carenciais e consequências clinicamente significativas da cirurgia bariátrica. Foram excluídos os textos que não tinham relação com a temática e as duplicatas. Assim, dos 22 artigos apresentados pela busca nas bases de dados, 11 foram selecionados por afinidade à temática de busca e 11 artigos foram excluídos por não serem relacionados com o assunto. A partir desse processo, percebeu-se que as anemias e as deficiências nutricionais são uma consequência comum em pacientes pós-gastrectomia. Assim, a suplementação pré-operatória e o monitoramento nutricional pós-cirúrgico são intervenções para evitar as carências nutricionais. Importante destacar o acompanhamento de pacientes gastrectomizados por equipe multiprofissional para garantir uma melhor qualidade de vida ao paciente.

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Section: Resultsunclassified

Anemias e deficiências nutricionais em pacientes submetidos à gastrectomia: uma revisão integrativa

Costa

Souza

Antunes

et al. 2020

RSD

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“…Obesity is a chronic disease which may lead to serious complications, such as diabetes mellitus, cardiovascular disease, osteoarthritis, dyslipidemia, and psychological disability. Bariatric surgery is an effective method for weight reduction and it’s a reasonable option considered for significant weight loss and reduction in comorbidities but there’re various types of nutritional deficiencies that may happen after Bariatric surgery which increase the risk of anemia [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Factors of Anemia in Patients After Bariatric Surgery in Qassim Region, King Fahad Specialist Hospital

Assakran,

Khalid,

Bennasser

et al. 2023

Cureus

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Introduction There is a high prevalence of obesity among the Saudi population. Anemia due to iron deficiency or an inflammatory state is often associated with obesity. Multiple nutritional deficiencies are associated with bariatric surgeries, with anemia being one of the commonest causes. Aim This study aimed to evaluate the prevalence of anemia after bariatric surgery among patients in the Qassim Region, Saudi Arabia. Patients and methods This retrospective cohort study was conducted at King Fahad Specialist Hospital Al-Qassim (Buraydah), Saudi Arabia. We reviewed data from patients' records who underwent bariatric surgeries from January 2018 to January 2021. By using a structured data collection form, we collected data such as demographic variables, surgery perioperative-related data, postoperative complications and interventions, type of transfusion required after surgery, postoperative medications and/or supplements and duration, and blood count indices. Results Of the 520 patients who underwent bariatric surgery, 61% were females, and 31.7% were aged between 26 to 35 years old. The most prominent type of bariatric surgery was sleeve gastrectomy (97.1%). The prevalence of anemia among patients who underwent bariatric surgery was 28.1%. Independent risk factors for anemia were female gender, microcytic red blood cells, and low normal hematocrit and hemoglobin (Hgb) levels. It is interesting to know that sleeve gastrectomy and elevated BMI levels are considered to be the protective factors for developing anemia postoperatively. Conclusion There was a high prevalence of anemia among bariatric patients postoperatively. Female gender with decreasing hematocrit and hemoglobin levels after the surgery might be more at the receiving end for developing anemia than the other patients. Further longitudinal studies are needed to establish the prevalence and risk factors for developing anemia among bariatric surgery patients.

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“…Although the first two promote less risk, they have limited effectiveness and more frequently cause relapse. In contrast, bariatric surgeries are more effective for weight loss and have been associated with a significant reduction in comorbidities [ 3 ]. The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) showed that more than 833,000 bariatric surgeries had been performed worldwide in 2019 [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, some bariatric surgery has been proven to improve glucose profile to prediabetic level for type 2 diabetes mellitus [ 9 ]. Despite its ability to reduce significant comorbidities, bariatric surgery can nevertheless lead to numerous postoperative complications [ 3 ]. Multiple factors can increase the risk of morbidities after surgeries, including age, male sex, comorbid chronic diseases, very high body mass index (BMI), surgeon experience, quality and experience of the center and facility, and open surgical approach.…”

Section: Introductionmentioning

confidence: 99%

“…Nutritional complications have various presentations, such as arrhythmias, myopathies, hypoglycemia, anemia, neuropathies, oxalosis and renal stones, secondary hyperparathyroidism, and metabolic bone disease [ 10 ]. The main factors for accelerated bone loss after bariatric surgery are calcium and vitamin D deficiencies with elevated parathyroid hormone [ 3 , 12 ]. The incidence rate of calcium deficiency after bariatric surgery is almost 10%, whereas the prevalence of vitamin D deficiency after bariatric surgery lies between 25% and 73% [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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A Case Report of Severe Osteomalacia in a Young Patient After Bariatric Surgery

Alarfaj¹,

Alrasheed²,

Alsulaiman³

et al. 2021

Cureus

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Obesity can promote several metabolic, cardiovascular, and musculoskeletal complications and has been associated with poor quality of life. The treatment of obesity can range from simple lifestyle modifications or medications to complicated bariatric surgeries. Although bariatric surgery has been a proven treatment for morbid obesity, it has also been associated with multiple consequences and complications. Several reports and studies have revealed bone loss or decreased bone mineral density (BMD), fractures, or even several metabolic bone diseases, such as osteoporosis, following bariatric surgery. This case report aims to increase awareness on postoperative patient supplementation compliance and incorporation of early detection and intervention. This case report involves a 39-year-old male who underwent laparoscopic biliopancreatic diversion 10 years prior to presentation. The patient was not compliant with his supplements for over nine years, which lead to multiple fragility fractures, myopathy, and muscle atrophy due to hypocalcemia, vitamin D deficiency, hyperparathyroidism, and other electrolyte disturbances. He has since been treated with supplements and physiotherapy for 10 months and showed clinical improvement. This case report highlights the importance of pre-and postoperative screening of bone loss risks and any vitamin or mineral deficiencies with subsequent correction via supplements. Moreover, it emphasizes the need for more studies on the complications of late post-bariatric surgeries.

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Determining the prevalence and causes of anaemia in patients after bariatric surgery in a Saudi hospital

Cited by 4 publications

References 29 publications

Anemias e deficiências nutricionais em pacientes submetidos à gastrectomia: uma revisão integrativa

Anemias e deficiências nutricionais em pacientes submetidos à gastrectomia: uma revisão integrativa

Prevalence and Risk Factors of Anemia in Patients After Bariatric Surgery in Qassim Region, King Fahad Specialist Hospital

A Case Report of Severe Osteomalacia in a Young Patient After Bariatric Surgery

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