Nutritional deficiencies four years after laparoscopic sleeve gastrectomy—are supplements required for a lifetime?

Patient adherence to multivitamin supplementation after bariatric surgery: a narrative review

“…In general, adherence for MVS intake is considered to be poor in the long term. A prospective analysis by Ben-Porat et al described the prevalence of deficiencies and supplement consumption 4 years after LSG (16) . A significant decrease in adherence over the postoperative course was documented for MVS intake (92⋅6 v. 37 % for 1 and 4 years, P < 0⋅001), vitamin D intake (71⋅4 v. 11⋅1 % for 1 and 4 years, P < 0⋅001) and calcium (40⋅7 v. 3⋅7 % for 1 and 4 years, P 0⋅002) (16) .…”

“…A prospective analysis by Ben-Porat et al described the prevalence of deficiencies and supplement consumption 4 years after LSG (16) . A significant decrease in adherence over the postoperative course was documented for MVS intake (92⋅6 v. 37 % for 1 and 4 years, P < 0⋅001), vitamin D intake (71⋅4 v. 11⋅1 % for 1 and 4 years, P < 0⋅001) and calcium (40⋅7 v. 3⋅7 % for 1 and 4 years, P 0⋅002) (16) . Ledoux et al described long-term nutritional deficiencies based on adherence to a standardised MVS after LRYGB (10) .…”

“…In their study, no significant differences were found between baseline age and patient adherence. A prospective study by Ben-Porat et al assessed the prevalence of vitamin deficiencies and supplement consumption 4 years after LSG, which show no significant differences between MVS intake and age or sex (16) .…”

“…Zarshenas et al reported about an inconsistent adherence of MVS intake after bariatric surgery (5) . Many other studies have shown that long-term adherence of bariatric patients to MVS intake is poor (10,(12)(13)(14)(15)(16)(17)(18) . However, it is unclear which factors contribute to patient Abbreviations: LRYGB: laparoscopic Roux-en-Y gastric bypass; LSG: Laparoscopic sleeve gastrectomy; MVS: multivitamin supplementation; OAGB/MGB: One Anastomosis/Mini-Gastric Bypass adherence in taking MVS.…”

A behavioral rating system predicts weight loss and quality of life after bariatric surgery

“…Suspected behavioral and emotional contributions to poor outcomes have included bingeeating disorder (11) , grazing (12) , non-adherence to taking vitamins and adequate hydration (13) , poor impulse control (14) , lack of persistence (15) , depression (16) , and possibly alcohol use disorders (see Parikh et al for a review (17) ). One purpose of pre-surgical psychological evaluations presumably is to help predict probability for success, however, evidence for predictive validity is limited.…”