Increase of Bone Resorption and the Parathyroid Hormone in Postmenopausal Women in the Long-term after Roux-en-Y Gastric Bypass

Valderas, Juan P.; Velasco, Soledad; Solari, Sandra; Liberona, Yéssica; Viviani, Paola; Maíz, Alberto; Escalona, Alex; González, Gilberto

doi:10.1007/s11695-009-9890-y

Cited by 75 publications

(75 citation statements)

References 35 publications

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“…The number of operations for obesity has increased in recent years 5,47 and its success is founded on the effective weight loss, control of comorbidities and increased quality of life 1,5,9,29,47 . However, some negative effects have also been reported in several studies, such as hyperparathyroidism and osteoporosis 39,55,57,59 chronic regurgitation, nutritional deficiencies 2,6,28,30,59 , kidney problems 3,16 and oral problems 22,23,31,49 . The objective of this review was to identify the consequences of postoperative bariatric surgery (as vitamin deficiency, gastroesophageal reflux, kidney disturbances, psychological alterations, reduction of diabetes mellitus, improvement in obstructive sleep apnea and, also, to check its impact on oral health and dental caries, xerostomy, erosion and bone resorption.…”

Section: Introductionmentioning

confidence: 99%

Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

Moura-Grec

Assis

Cannabrava

et al. 2012

ABCD, arq. bras. cir. dig.

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-Introduction -Morbid obesity control can be done by bariatric surgery that restricts or reduces the amount of food absorption. The objective of this review was to identify the consequences of bariatric surgery and its repercussions on oral health. Method -It was used the Virtual Library of Health, which included articles that had any direct or indirect connection between bariatric surgery and oral health, and published in the last ten years. Results -Some complications of the surgery are chronicle reflux and nutritional deficiency, which may bring repercussions on the oral cavity, such as tooth erosion, bone loss and dental caries. On the other hand, there are also positive impacts, such as the decrease of diabetes, apnea and improvement on self-esteem, that makes the patients less vulnerable to complications regarding oral health, for example xerostomy and periodontal disease. Conclusion -Maintaining proper oral health in patients undergoing bariatric surgery contributes to success after surgery protecting benefits and minimizing side effects. ABCDDV/868RESUMO -Introdução -O controle da obesidade mórbida pode ser realizado através da cirurgia bariátrica que leva à restrição e/ou à má-absorção de alimentos. O objetivo dessa revisão foi identificar consequências desse procedimento e suas repercussões na saúde bucal. Método -Foi realizada busca na Biblioteca Virtual em Saúde, sendo incluídos artigos com relação direta ou indireta entre cirurgia bariátrica e saúde bucal e publicados nos últimos dez anos. Resultados -Verificaram-se algumas complicações decorrentes dessa operação, como regurgitação crônica e deficiências nutricionais, que podem trazer repercussões na cavidade bucal como erosão dentária, perda óssea e cárie dentária. Por outro lado, existem consequências positivas como controle da diabetes, da apnéia e melhora da auto-estima, que tornam os pacientes menos susceptíveis à complicações na cavidade oral, como xerostomia e doença periodontal. Conclusão -A manutenção da saúde bucal adequada em pacientes submetidos à cirurgia bariátrica contribui para o sucesso após a operação, resguardando os benefícios e minimizando os efeitos colaterais.

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Section: Introductionmentioning

confidence: 99%

Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

Moura-Grec

Assis

Cannabrava

et al. 2012

ABCD, arq. bras. cir. dig.

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“…Valderas JP et al [9] noted that although hyperparathyroidism was seen post RYGB there was no statistical difference in vitamin D, ALP or BMD between their cohort and a matched control. However, both groups did have a vitamin D deficiency, supporting the evidence that the obese continue to have poor diet and vitamin deficiencies are endemic.…”

Section: Discussionmentioning

confidence: 81%

“…However the degree of this loss following bariatric surgery is significantly higher [8]. Further, if bone loss continues after three years then it cannot be explained by weight loss alone, as weight loss should have plateaued and patients may even be regaining weight [9]. This strongly suggests that bone mass loss is not due to weight loss alone and may be explained by the interplay of at least three distinct factors.…”

Section: Obesity Metabolic Disease and The Metabolic Complications Omentioning

confidence: 99%

Metabolic Bone Disease and Bariatric Surgery

Sanghera¹

2013

J Gastrointest Dig Syst

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The prevalence of obesity is increasing worldwide and the past decade has witnessed an exponential rise in the number of bariatric operations performed. As a consequence, it is expected that an increasing number of patients are likely to be at risk of long term complications that may not manifest until years or decades later. Several studies have investigated the short and long-term complications of bariatric surgery but there is little available data on the longterm consequences on bone metabolism and the consequences of this after bariatric surgery. This paper reviews the current literature for further information on this clinically relevant issue.

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“…After RYGB, a high prevalence of bone resorption and hyperparathyroidism may exist independent of intake of calcium and Vitamin D status (77,78). This raises a concern that the present recommendations for daily calcium and vitamin D supplementation may not be protective after RYGB, especially in female patients.…”

Section: Vitamin Dmentioning

confidence: 97%

Origins for Micronutrient Deficiencies

Lovette¹,

Shope²,

Koch³

2012

Advanced Bariatric and Metabolic Surgery

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Increase of Bone Resorption and the Parathyroid Hormone in Postmenopausal Women in the Long-term after Roux-en-Y Gastric Bypass

Abstract: RYGB is associated to high bone resorption and hyperparathyroidism prevalence in postmenopausal women in the long-term. This occurs independently of the intake of calcium, vitamin D status, or ghrelin and does not seem to affect BMD after RYGB.

Cited by 75 publications

References 35 publications

Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

Metabolic Bone Disease and Bariatric Surgery

Origins for Micronutrient Deficiencies

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