Vitamin deficiencies and prevention methods after bariatric surgery

Çalapkorur, Sema; Küçükkatirci, Hürmet

doi:10.20517/2574-1225.2019.51

Cited by 6 publications

(6 citation statements)

References 44 publications

(99 reference statements)

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“…Nonetheless, a substantial proportion of patients undertaking gastric sleeve surgery had low levels of vitamin B12, vitamin D, calcium, iron, and ferritin, highlighting the necessity of monitoring and managing these laboratory markers. These results are consistent with previous reports [ 13 - 16 ] indicating that patients who have undergone gastric sleeve surgery frequently experience dietary deficiencies. Possible causes of deteriorating laboratory results include insufficient dietary intake, malabsorption, and inadequate supplementation [ 17 ].…”

Section: Discussionsupporting

confidence: 93%

Post-gastric Sleeve Surgery Chronic Symptoms From a Sample of Patients in Saudi Community

Alhuzaim,

Alajlan,

Alshehri

et al. 2023

Cureus

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Background: A common bariatric procedure known as gastric sleeve surgery can cause significant weight loss and co-morbid condition alleviation. However, patients could experience persistent problems such as gastrointestinal, musculoskeletal/neural, and psychiatric disorders after surgery. This study aims to identify the most prevalent chronic symptoms following sleeve gastrectomy among a sample of Saudi patients and the impact these symptoms have on patients' lives. Methodology: Patients who underwent gastric sleeve surgery at the Ensan Clinic, a facility specializing in gastroenterology, were the subjects of this retrospective cohort analysis. The study population consisted of patients who underwent gastric sleeve surgery, showed up for follow-up after the procedure, and met the inclusion and exclusion criteria. The data collection sheet is divided into seven sections. Sociodemographic information was required in the first section, gastric sleeve surgery information in the second, vital signs in the third, lab results in the fourth, past medical history in the fifth, current treatments in the sixth, and postoperative complications and chronic symptoms in the seventh and final sections. Results: In 117 patients, the study evaluated the effects of gastric sleeve surgery. Participants had an average age of 40.21 years, and 61.5% were female. Regarding persistent symptoms after surgery, a sizable percentage of patients mentioned digestive issues such as GERD (44.4%), dyspepsia (60.7%), vomiting (23.1%), nausea (39.3%), and abdominal distention (45.3%). A total of 34.2% of patients reported experiencing anxiety, compared to 11.1% who said they had depression or 2.6% who said they had social issues. A few patients reported experiencing neurological or musculoskeletal issues, including exhaustion (7.7%), faintness (5.1%), back or joint discomfort (7.7%), and shortness of breath (8.5%). Conclusion: After undergoing gastric sleeve surgery, a sizable proportion of patients complained of various chronic symptoms and nutritional inadequacies, primarily gastrointestinal problems and musculoskeletal/neurological issues. The study's findings show a connection between these symptoms and surgery.

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Section: Discussionsupporting

confidence: 93%

Post-gastric Sleeve Surgery Chronic Symptoms From a Sample of Patients in Saudi Community

Alhuzaim,

Alajlan,

Alshehri

et al. 2023

Cureus

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“…[12] Deficiency of vitamin K with other malabsorption deficiencies in post bariatric cases can be another cause. [13] Other studies disagreed with this hypothesis and related the increased incidence of haematoma in these patients to the longer operative time and to the larger size of the surgical specimen removed in comparison to that in cosmetic abdominoplasty [14].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Haematoma in Post Bariatric Abdominoplasty Cases

Qaydi¹,

Mansoori²,

Emil³

et al. 2023

MPS

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Objective: This study aims at assessing the incidence of haematoma formation in abdominoplasty cases who had previous bariatric surgery and in those who did not have bariatric surgery before. Patients and Methods: This is a 4 years retrospective study involving patients who underwent abdominoplasty surgery between the period of July 2015 and June 2019. The incidence of haematoma formation was assessed in relation to history of previous bariatric surgery in these patients. Results: 164 patients met the inclusion criteria of the study; 46 of them were males and 118 were females. The mean age of the patients included in the study was 38.6 (21 -60 years). The mean BMI was 27 kg/m 2 (21.4 -34.7 Kg/m 2 ). The mean hospital stay was 6.6 days (4 -19 days). 107 patients had history of previous bariatric surgery performed and 57 had not. 21 patients developed haematoma (12.8%). 16 of the patients who had haematoma had previous bariatric surgery done (15% of post bariatric surgery cases) while 5 patients developed haematoma with no history of previous bariatric surgery (8.8%). Sixteen male patients out of the 46 male patients in the study developed postoperative haematoma (34.8% of the male patients) while only 5 of the 118 female patients developed postoperative haematoma (4.2% of the female patients) which shows a significant difference in haematoma formation when comparing males to females in general (p < 0.001). A same significant difference in haematoma formation was found in males who had previous bariatric surgery (13.1%) compared to females who had the same procedure done before (1.9%) (p < 0.001). Out of the 46 male patients included in the study, 16 patients developed haematoma, 14 patients of them had previous bariatric surgery (30.4% of the male patients) while the other 2 patients had no bariatric surgery done before (4.4% of the male patients) indicating that males who had previous bariatric surgery had the highest chance of developing haematoma (p < 0.05).

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“…A BS could cause intestinal malabsorption of the vitamin B complex due to the involvement of the duodenum, jejunum, and ileum in vitamin absorption [ 26 ]. According to Calapkorur and Küçükkatirci [ 27 ], the prevalence of vitamin B12 deficiency increased to 61.8% five years after the RYGB operation. An analysis of 75 patients followed for a longer period and without supplementation revealed that 61.8% had low vitamin B12 levels [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Bariatric Surgery on Menstrual Abnormalities in Saudi Women: A Cross-Sectional Study

Alhumaidan,

Alrefaei,

Alfantoukh

et al. 2024

Cureus

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Background: Adults in Saudi Arabia are more likely to be obese, which has negative effects on reproductive health, especially for women. While bariatric surgery (BS) provides a sustainable approach, little is known about how it affects menstrual health and requires a study among the Saudi demographic. Methods: The current investigation is a cross-sectional study conducted in Saudi Arabia. Data were collected using an online questionnaire to assess the impact of BS on menstrual abnormalities in women. Data were cleaned in Excel and analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 24.0, Armonk, NY). Results: This study included 516 Saudi women who underwent various BS procedures, with 37.2% aged 18-30 years and 97.9% residing in Saudi Arabia. Approximately 85.9% underwent sleeve gastrectomy (SG), experiencing a mean weight loss of 54.2 kg. Co-morbidities included polycystic ovary syndrome (PCOS) (12.4%), hypothyroidism or hyperthyroidism (11%), uterine fibroids (4.7%), and hormonal imbalances (2.5%). Post-surgery, 18% encountered BS complications from BS, while 8.3% used antidepressants. Moderate sports participation ranged from 12.2% (five or more days) to 36.2% (one to three days). In particular, no significant associations were found between complications and various parameters, except a marginal association with educational level (p=0.071). The number of menstruations per year did not change statistically significantly, remaining constant at 10.6±4.8 before surgery and 10.6±4.9 after surgery (p = 0.859). However, there was a mild decrease in the amount and duration of menstruation, reported by 23.3% and 27.3% of the participants preoperatively and post-operatively, respectively. Conclusion: The study demonstrates the impact of BS on menstrual abnormalities in Saudi women. Despite a significant weight reduction, we found mild improvement in the amount and duration of menstruation with no substantial effect observed on the menstrual cycle frequency. Psychological support after surgery is crucial, considering the increased use of antidepressants.

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Vitamin deficiencies and prevention methods after bariatric surgery

Cited by 6 publications

References 44 publications

Post-gastric Sleeve Surgery Chronic Symptoms From a Sample of Patients in Saudi Community

Post-gastric Sleeve Surgery Chronic Symptoms From a Sample of Patients in Saudi Community

Incidence of Haematoma in Post Bariatric Abdominoplasty Cases

The Effect of Bariatric Surgery on Menstrual Abnormalities in Saudi Women: A Cross-Sectional Study

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