Micronutrient Deficiencies in Laparoscopic Sleeve Gastrectomy

Jamil, Omar; Gonzalez-Heredia, Raquel; Quadri, Pablo; Hassan, Chandra; Masrur, Mario; Berger, Reed; Bernstein, Karen; Sánchez-Johnsen, Lisa

doi:10.3390/nu12092896

Cited by 12 publications

(11 citation statements)

References 55 publications

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“…14.8 mg a day for women). [34] In addition, some others factors make contribution to the high occurrence of iron deficiency after LSG such as failure to provide supplements consistently, [34] lack of patient adherence to supplementation, [35] the link of iron supplement with troublesome gastrointestinal side effects, [24] large gaps in dietary follow-up, and the absence of specialized nutritional care after surgery. Hence, led to iron deficiency progresses from mild iron deficiency, to iron-deficiency erythropoiesis (erythrocyte production), and finally to IDA.…”

Section: Resultsmentioning

confidence: 99%

Pre and Early Post-Operative Iron Assessment in Obese Patients Underwent Laparoscopic Sleeve Gasterctomy

Zebari¹,

Mahgoob²,

Qahtan³

et al. 2022

Cihan U Erbil SCI J

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Obesity is a chronic disease associated with mortality and morbidity. Bariatric surgery (BS) as a long-term weight reduction treatment has been increased. This study investigated the early state of iron storage and deficiency in patients underwent laparoscopic sleeve gastrectomy (LSG). Thirty patients were selected as a prospective study underwent LSG according to specialized inclusion and exclusion criteria at Soran Private Hospital in Erbil, from 1/1/2021 to 1/9/2021 after signing a consent form. All selected patients underwent preoperative and three months’ post-operative hemoglobin (Hb), mean corpuscular volume (MCV), and serum ferritin (SF) assessments. They were instructed to follow specialized diet regimen for three months’ post-operative and not to take any drugs and supplements. Results showed a strong positive correlation between preoperative and postoperative assessment for both Hb and MCV respectively (r= 0.72; P < 0.001), (r= 0.76; P < 0.001), and a moderate correlation for SF (r= 0.41; P < 0.024). Significant difference (P < 0.05) was found between preoperative and postoperative for the three markers (Hb, MCV and SF). Their values were decreased from preoperative to postoperative for the majority of the cases, but they were still within the normal range. The finding demonstrated that after three months from LSG, no patients showed iron deficiency anaemia. However, there was decrease in SF level which indicated that the storage capacity of iron was decreasing. This suggest that the iron supplement has to be started since the food regime followed in by the patients was not sufficient to maintain normal iron level.

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Section: Resultsmentioning

confidence: 99%

Pre and Early Post-Operative Iron Assessment in Obese Patients Underwent Laparoscopic Sleeve Gasterctomy

Zebari¹,

Mahgoob²,

Qahtan³

et al. 2022

Cihan U Erbil SCI J

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“…As reported by Jamil et al, patients with obesity may suffer from vitamin D deficiency due to vitamin D sequestration in fat, decreased sun exposure, sedentary lifestyle, and the psychological component of covering more skin with vitamin D deficiency, the most common observed vitamin deficiency in patients prior to surgery treating obesity. Most studies indicate, however, that in obese patients undergoing bariatric surgery, vitamin D deficiencies do not develop de novo postoperatively, but rather are connected to the preoperative status and improve with supplementation [38]. Unfortunately, current Clinical Practice Guidelines on vitamin D supplementation in bariatric surgery differ between societies, with most recommending high doses of vitamin D supplementation following surgery, ranging from 3000 IU daily to 50,000 IU 1-3 times weekly, and increasing to 50,000 IU 1-3 times daily in case of severe malabsorption.…”

Section: Discussionmentioning

confidence: 99%

Vitamin D—The Nutritional Status of Post-Gastrectomy Gastric Cancer Patients—Systematic Review

et al. 2022

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Gastric cancer is a malignant neoplasm of the gastrointestinal tract, with one of the standard treatment methods remaining gastrectomy. The authors conducted a systemic review of the Medline and Embase databases concerning the serum vitamin D level in post-gastrectomy gastric cancer patients, regarding all articles published until 22 May 2022 according to the PRISMA guidelines. 18 studies with a total number of 908 gastric cancer survivors were included in the analysis. The initial rate of vitamin D deficiency in gastric cancer patients undergoing gastrectomy appears to be similar to the global population deficiency. In post-gastrectomy survivors, the level of 25(OH)D may remain stable or decrease, while the level of 1, 25(OH)2D remains normal. Supplementation with vitamin D results in an improvement in its serum concentration and positively affects bone mineral density, which is gradually reduced in post-gastrectomy survivors. Combining vitamin D supplementation with calcium and bisphosphonates enables us to obtain better results than vitamin D and calcium only. The type of surgery influences the level of serum vitamin D and its metabolites, with total or partial gastrectomy and maintenance of the duodenal food passage remaining the most important factors. There is a strong need for randomized, controlled trials that would investigate this matter in the future.

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“…This may be partially due to unfavourable patient adherence over time, (38) but the absence of defined and designated mediations also seems to play a role. Overall, Jamil et al (39) findings indicate the need for immediate, longterm studies to better understand what various intercessions entail for postoperative deficiencies. There should be clear guidelines for preoperative supplementation and scheduled assessments to affect their viability because vitamin B12 and vitamin D deficiencies both decrease when treated before surgery.…”

Section: Indications For Bariatric Surgerymentioning

confidence: 99%

Nutritional consequences of bariatric surgery Samir Ahmed Abdelmageed1, Eman Roshdy Mohamed2, Alaa Ahmed Ghaleb3, Farida Sami Abdou4 4Family Medicine department, Faculty of medicine, Sohag University 1General surgery department, Faculty of Medic

Abdou

Mohamed

Ghaleb

et al. 2022

Sohag Medical Journal

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Bariatric surgeries involvement in treating comorbid obesity is growing fast. Since it was first approved as a treatment for those who had previously failed to reduce weight through conventional ways, the usage of bariatric surgery has significantly increased. The body mass index is frequently used in clinical practise to identify obesity, which is generally understood to mean having a significant quantity of harmful body fat (BMI). Since the BMI's creation, numerous studies involving sizable populations have shown a J-shaped relationship between the BMI and risk of morbidity or mortality, with a BMI greater than 30 kg/m2 (the definition of obesity in many guidelines) being undeniably linked to an elevated risk of morbidity or mortality. A severe and rapidly expanding global health hazard is the prevalence of morbid obesity. While some people can lose additional weight by making lifestyle changes, participating in exercise programmes, and following diet plans, bariatric surgery is still the treatment of choice for many patients who don't react to other forms of therapy. In terms of weight loss and comorbidity alleviation, bariatric procedures have produced excellent results. However, some issues with bariatric surgery have been reported, including anastomotic leakage, stenosis, haemorrhage, weight regain, and nutritional inadequacies. Due to the Roux-en-Y gastric bypass's poor absorption capabilities (RYGB), ND is an expected complication. Sleeve gastrectomy (SG) and other restraint-inducing operations are also linked to ND. The purpose of this review of the research is to present and discuss the nutritional effects of bariatric procedures and the currently available treatment alternatives.

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Micronutrient Deficiencies in Laparoscopic Sleeve Gastrectomy

Cited by 12 publications

References 55 publications

Pre and Early Post-Operative Iron Assessment in Obese Patients Underwent Laparoscopic Sleeve Gasterctomy

Pre and Early Post-Operative Iron Assessment in Obese Patients Underwent Laparoscopic Sleeve Gasterctomy

Vitamin D—The Nutritional Status of Post-Gastrectomy Gastric Cancer Patients—Systematic Review

Nutritional consequences of bariatric surgery Samir Ahmed Abdelmageed1, Eman Roshdy Mohamed2, Alaa Ahmed Ghaleb3, Farida Sami Abdou4 4Family Medicine department, Faculty of medicine, Sohag University 1General surgery department, Faculty of Medic

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