Copper, selenium and zinc levels after bariatric surgery in patients recommended to take multivitamin-mineral supplementation

Papamargaritis, Dimitris; Aasheim, Erlend T.; Sampson, B.; Roux, Carel W. le

doi:10.1016/j.jtemb.2014.09.005

Cited by 63 publications

(46 citation statements)

References 53 publications

(71 reference statements)

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“…These values differ considerably from those reported by other authors [11,12,35,36,38,39] (Table 5). Such differences may be attributable to poor dietary habits in the general population, socioeconomic factors, gastrointestinal pathologies, and/or the use of different cutoff points for defining nutritional deficiency.…”

Section: Discussioncontrasting

confidence: 91%

“…However, such procedure carries the risk of complications, such as deficiencies for micronutrients, even when supplements are used [13,[28][29][30][31][32]. Moreover, obese patient often present with micronutrient deficiencies before to bariatric surgery [9][10][11][12][13][33][34][35][36][37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

“…Data regarding nutritional indicators for obese patients seeking bariatric surgery are scarce; however, some authors have noted low pre-surgical plasma concentrations of iron, hemoglobin, ferritin, zinc, folic acid, vitamin B 12 , 25(OH)D, calcium, among others. (Table 5) [9][10][11][12][13][33][34][35][36][37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

“…It is important to note that adequate vitamin B 12 stores in the human body can maintain stable plasma levels of this vitamin for long periods of time; therefore, a plasma vitamin B 12 deficiency suggests low intake over a prolonged period of foods such as fish, shellfish, meat, dairy products, and multivitamins or, at a lower rate, malabsorption of vitamin B 12 due to intrinsic factor deficiency. In terms of vitamin D status, measured as plasma 25(OH)D, 71.7 % of the patients Papamargaritis et al [38] Gobato et al [39] Ewang-Emukowhate et al [40] Damms-Machado et al [13] Moize et al [11] de Luis et al [12] Schweiger et al [10] Ernst [36] Toh et al [9] Flancbaum [33] Gender MCV mean corpuscular volume, NM not measured, NA not available, F female, M male evaluated showed insufficiency and deficiency. 25(OH)D deficiency in the obese population has been described in many studies, with a reported inverse correlation between BMI and 25(OH)D plasma concentration.…”

Section: Discussionmentioning

confidence: 99%

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Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery

et al. 2015

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Section: Discussioncontrasting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery

et al. 2015

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“…Up to half [9][10][11][12][13] of bariatric surgery patients are deficient in Zn preoperatively and RYGB can further exacerbate it [4,9,12] through probably both reduced intake [15][16][17][18] and reduced absorption [15,19] as Zn is predominantly absorbed in the duodenum and the proximal jejunum.…”

Section: Introductionmentioning

confidence: 99%

Zinc Deficiency after Gastric Bypass for Morbid Obesity: a Systematic Review

et al. 2016

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Usage guidelinesPlease refer to the usage guidelines at http://sure.sunderland.ac.uk/policies.html or alternatively contact sure@sunderland.ac.uk. 1 Abstract:Up to 50 % of patients have Zinc deficiency before bariatric surgery. Roux-en-Y Gastric Bypass (RYGB) is the commonest bariatric procedure worldwide. It can further exacerbate Zinc deficiency by reducing intake as well as absorption. British Obesity and Metabolic Surgery Society, therefore, recommends that Zinc level should be monitored routinely following gastric bypass. However, the American guidance does not recommend such monitoring for all RYGB patients and reserves it for T Z after RYGB. Routine monitoring of Zinc levels is hence unnecessary for asymptomatic patients after RYGB and should be reserved for patients with skin lesions, hair loss, pica, dysgeusia, hypogonadism or erectile dysfunction in male patients, and unexplained iron deficiency anaemia.

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Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

Mechanick

Apovian

Brethauer

et al. 2020

Obesity

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Objective The development of these updated clinical practice guidelines (CPGs) was commissioned by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists. Methods Each recommendation was evaluated and updated based on new evidence from 2013 to the present and subjective factors provided by experts. Results New or updated topics in this CPG include: contextualization in an adiposity‐based chronic disease complications‐centric model, nuance‐based and algorithm/checklist‐assisted clinical decision‐making about procedure selection, novel bariatric procedures, enhanced recovery after bariatric surgery protocols, and logistical concerns (including cost factors) in the current health care arena. There are 85 numbered recommendations that have updated supporting evidence, of which 61 are revised and 12 are new. Noting that there can be multiple recommendation statements within a single numbered recommendation, there are 31 (13%) Grade A, 42 (17%) Grade B, 72 (29%) Grade C, and 101 (41%) Grade D recommendations. There are 858 citations, of which 81 (9.4%) are evidence level (EL) 1 (highest), 562 (65.5%) are EL 2, 72 (8.4%) are EL 3, and 143 (16.7%) are EL 4 (lowest). Conclusions Bariatric procedures remain a safe and effective intervention for higher‐risk patients with obesity. Clinical decision‐making should be evidence based within the context of a chronic disease. A team approach to perioperative care is mandatory, with special attention to nutritional and metabolic issues.

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Copper, selenium and zinc levels after bariatric surgery in patients recommended to take multivitamin-mineral supplementation

Cited by 63 publications

References 53 publications

Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery

Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery

Zinc Deficiency after Gastric Bypass for Morbid Obesity: a Systematic Review

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