Micronutrient Deficiencies After Bariatric Surgery: An Emphasis on Vitamins and Trace Minerals

Patel, Jayshil J.; Mundi, Manpreet S.; Hurt, Ryan T.; Wolfe, Bruce M.; Martindale, Robert G.

doi:10.1177/0884533617712226

Cited by 55 publications

(44 citation statements)

References 68 publications

(119 reference statements)

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“…The underlying variables associated to postoperative vitamin and mineral deficiencies are both surgery-and patient-related ( Figure 3 Micronutrient deficiencies are frequently reported after RYGB and VSG [9,51,96,97], with an incidence as great as 50% in mid-and long-term follow-ups [86]. The underlying variables associated to postoperative vitamin and mineral deficiencies are both surgery-and patient-related ( Figure 3) [98].…”

Section: Pathogenesis Of Micronutrient Deficiencies After Bsmentioning

confidence: 99%

Bariatric Surgery in Obesity: Effects on Gut Microbiota and Micronutrient Status

et al. 2020

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Obesity is associated with reduced gut microbial diversity and a high rate of micronutrient deficiency. Bariatric surgery, the therapy of choice for severe obesity, produces sustained weight loss and improvements in obesity-related comorbidities. Also, it significantly alters the gut microbiota (GM) composition and function, which might have an important impact on the micronutrient status as GM is able to synthesize certain vitamins, such as riboflavin, folate, B12, or vitamin K2. However, recent data have reported that GM is not fully restored after bariatric surgery; therefore, manipulation of GM through probiotics represents a promising therapeutic approach in bariatric patients. In this review, we discuss the latest evidence concerning the relationship between obesity, GM and micronutrients, the impact of bariatric surgery on GM in relation with micronutrients equilibrium, and the importance of the probiotics’ supplementation in obese patients submitted to surgical treatment.

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Section: Pathogenesis Of Micronutrient Deficiencies After Bsmentioning

confidence: 99%

Bariatric Surgery in Obesity: Effects on Gut Microbiota and Micronutrient Status

et al. 2020

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“…One of the most important, prevalent, and consequential nutritional concerns is alterations in iron metabolism primarily due to the surgery and to a variable extent due to certain unique characteristics of patients with severe obesity. Only recently recognized and not well studied is the increasing evidence for the long‐term development of severe iron deficiency often leading to modest to severe anaemia resulting from metabolic surgery …”

Section: Introductionmentioning

confidence: 99%

Metabolic surgery and iron homeostasis

et al. 2018

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Iron deficiency and anaemia after metabolic surgery, potentially modifiable nutritional complications, are becoming an increasing cause for concern as prevalence increases with time and there is limited evidence supporting the effectiveness of the current guidelines for prophylactic oral iron supplementation and treatment for deficiency.Abnormalities in iron nutrition predisposing to deficiency are common in severely obese patients, and the low-grade systemic inflammation, also common to these patients, reduces the effectiveness of oral iron supplementation. The surgical procedures result in alterations of foregut anatomy and physiology, which limit iron absorptive capacity and daily food intake. These alterations and the limited effects of oral iron supplementation explain the high prevalence of postoperative iron deficiency and anaemia. This review outlines current mechanisms concerning the pathogenesis of disordered iron nutrition in patients with severe obesity, current gaps in knowledge, and opportunities for quality improvement.

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“…Morbid Obesity also is related to menstrual irregularities, complexities in pregnancy, hirsutism, and psychosocial disorders (23,24). One study which is conducted of 527,000 men and women in the age of 50 -71 years old, those with a BMI of more than 40 kg/m 2 had the higher risk of mortality (25). More than one billion adults are affected by obesity in world-wide.…”

Section: Morbid Obesitymentioning

confidence: 99%

“…Low physical activity and increment in the energy dense foods consumption may be an important indicator in obesity (28). Unfortunately, despite effort of morbid obese patients, ambulatory treatments such as exercise, diet, and nutrient counseling do not provided sustained weight loss (25), and it is found that Bariatric surgery provides the highest level of effectiveness in obtaining sustained weight loss among seriously obese patients, as compared with that of all other treatments (29).…”

Section: Morbid Obesitymentioning

confidence: 99%

“…Although the bariatric surgery Might be associated with some probably risks, including early postoperative complications (wound infection, anastomotic leak, deep vein thrombosis and etc. ), but has a significantly effects on treatment of metabolic and inflammatory comorbidity related to obesity such an T2DM, Hypertension, cardiovascular disease , Fatty liver and also the neuroinflammatory disorders including Migraine headache (25,27). Thus, the present review article was conducted to assess the potential association between morbid obesity and migraine as well as to evaluate the effect of Bariatric surgery on improvement of migraine headaches in morbid obese patients.…”

Section: The Effect Of Bariatric Surgery On Treatment Of Morbid Obesitymentioning

confidence: 99%

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The Effect of Bariatric Surgery on Migraine Headache in Morbid Obese Patients

Hatami

Mohammadi-Farsani

2017

J Minim Invasive Surg Sci

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Background: Migraine is a common and chronic neuro-inflammatory disease with progressive and episodic headache manifestation that leads to considerable disability. Many studies recognized that obesity is a risk factor for progression of migraine. Furthermore, both migraine and obesity is highly prevalent and important risk factors of chronic cardiovascular disease, stroke, and other inflammatory disease. Thus, it is very important if weight loss could alleviate the migraine headache and its related comorbidities. Aim: The present review article was conducted to assess the potential effect of Bariatric surgery on improvement of migraine headaches in morbid obese patients. Search Strategy: Scopus, PubMed and web of science electronic database were systematically searched with key words of "Bariatric surgery", "gastric Bypass"; "Morbid Obesity" and "Migraine headache" for interventional studies investigated the impact of Bariatric surgery on migraine headache. Results: The findings suggest significant improvement in headache frequency, duration, migraine-induced discomfort and migraine derived symptoms (nausea, phono and photophobia and) occurs as early as 3 months after bariatric surgery. Moreover, patients who had higher weight loss were more likely to experience a 50% or higher reduction in headache frequency, duration and severity. Conclusions:The entire evidences suggest patients with indications of bariatric surgery will benefit from the improvements in the Migraine headache after surgery. However, it remains unclear whether Bariatric-induced endocrine, gut-brain axis alterations, or reduction in adipokine contribute to migraine improvement, so further studies are needed to confirm and clarify these findings.

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Micronutrient Deficiencies After Bariatric Surgery: An Emphasis on Vitamins and Trace Minerals

Cited by 55 publications

References 68 publications

Bariatric Surgery in Obesity: Effects on Gut Microbiota and Micronutrient Status

Bariatric Surgery in Obesity: Effects on Gut Microbiota and Micronutrient Status

Metabolic surgery and iron homeostasis

The Effect of Bariatric Surgery on Migraine Headache in Morbid Obese Patients

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