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Sleeve gastrectomy vitamin D

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https://www.readbyqxmd.com/read/27901287/randomized-trial-of-roux-en-y-gastric-bypass-versus-sleeve-gastrectomy-in-achieving-excess-weight-loss
#1
M Ignat, M Vix, I Imad, A D'Urso, S Perretta, J Marescaux, D Mutter
BACKGROUND: Robust data on quality of life (QoL) after different techniques of bariatric surgery are sparse. This RCT compared excess weight loss (EWL) and QoL after sleeve gastrectomy versus Roux-en-Y gastric bypass (RYGB). METHODS: Obese patients were assigned randomly to RYGB or sleeve gastrectomy. The primary outcome measure was EWL. Secondary outcomes included QoL, co-morbidity, adverse events, vitamin and glycolipid status. QoL was assessed before and annually after surgery, using the Moorehead-Ardelt Quality of Life Questionnaire II (M-A-QoLQII) and Gastrointestinal Quality of Life Index (GIQLI)...
November 30, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27871812/effects-of-roux-en-y-gastric-bypass-and-sleeve-gastrectomy-on-bone-mineral-density-and-marrow-adipose-tissue
#2
Miriam A Bredella, Logan B Greenblatt, Alireza Eajazi, Martin Torriani, Elaine W Yu
Bariatric surgery is associated with bone loss but skeletal consequences may differ between Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), the two most commonly performed bariatric procedures. Furthermore, severe weight loss is associated with high marrow adipose tissue (MAT); however, MAT is also increased in visceral adiposity. The purpose of our study was to determine the effects of RYGB and SG on BMD and MAT. We hypothesized that both bariatric procedures would lead to a decrease in BMD and MAT...
November 15, 2016: Bone
https://www.readbyqxmd.com/read/27864670/relationship-between-vitamin-d-deficiency-and-the-components-of-metabolic-syndrome-in-patients-with-morbid-obesity-before-and-1%C3%A2-year-after-laparoscopic-roux-en-y-gastric-bypass-or-sleeve-gastrectomy
#3
Ana Obispo Entrenas, David Legupin Tubio, Fabiola Lucena Navarro, Francisco Martin Carvajal, Norberto Gandara Adan, Maximino Redondo Bautista, Jimena Abiles Osinaga
BACKGROUND: Vitamin D deficiency (VDD) is associated with obesity and metabolic syndrome (MS). After bariatric surgery (BS), high rates of VDD often persist and some patients are refractory to the resolution of comorbidities. The aim of the present study is to analyse the relationship between the levels of vitamin D and the persistence of MS components at 12 months after BS, according to the surgical technique used. METHODS: We performed a retrospective study of 46 patients undergoing BS: 23 underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP) and 23 laparoscopic sleeve gastrectomy (LSG)...
November 18, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27816436/hypocalcemia-after-thyroidectomy-in-patients-with-a-history-of-bariatric-surgery
#4
Nathalie Chereau, Cindy Vuillermet, Camille Tilly, Camille Buffet, Christophe Trésallet, Sophie Tezenas du Montcel, Fabrice Menegaux
BACKGROUND: Hypocalcemia is a common complication after total thyroidectomy. Previous bariatric surgery could be a higher factor risk for hypocalcemia due to alterations in calcium absorption and vitamin D deficiency. OBJECTIVES: To evaluate incidence and factors involved in the risk of hypocalcemia (transient and permanent) and the postoperative outcomes of these patients after total thyroidectomy. SETTING: University hospital in Paris, France...
September 28, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27815862/a-systematic-review-vitamin-d-status-and-sleeve-gastrectomy
#5
REVIEW
Clare F Dix, Judith D Bauer, Olivia R L Wright
BACKGROUND: Bariatric patients regularly present with insufficient vitamin D status before and after surgery, which requires substantial supplementation to treat. This review aims to assess the effect of sleeve gastrectomy on vitamin D status and the effectiveness of vitamin D supplementation. METHODS: This review was conducted in accordance with the Guidelines for Meta-Analyses and Systematic Reviews of Observational Studies. RESULTS: The current guidelines recommend initial vitamin D supplementation of at least 3000 IU/day post-operatively, with no need for follow-up testing after sleeve gastrectomy...
November 4, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27491294/micronutrient-status-in-morbidly-obese-patients-prior-to-laparoscopic-sleeve-gastrectomy-and-micronutrient-changes-5%C3%A2-years-post-surgery
#6
Sandra Gillon, Yvonne M Jeanes, John Roger Andersen, Villy Våge
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become more popular in recent years. The aim of this study was to determine the vitamin and mineral status in patients up to 5 years after LSG and to explore changes that occurred from pre-operatively to 1, 2 and 5 years after surgery. METHODS: Data reviewed included age, sex, weight and body mass index (BMI), micronutrient supplements consumed and blood levels of 25 hydroxyvitamin D (25 (OH) D), PTH (parathyroid hormone), ferritin, haemoglobin, folate and vitamin B12, prior to and post-LSG...
August 5, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27330488/bariatric-surgery-bad-to-the-bone-part-2
#7
REVIEW
Lara Pizzorno
As discussed in Part 1, obesity is now a global epidemic affecting a significant and rapidly increasing number of adults, adolescents, and children. As the incidence of obesity has increased, so has the use of bariatric surgery to treat it. A growing number of recently published studies have reported that, despite calcium and vitamin D supplementation, the most frequently performed types of bariatric surgery, the Roux-en-Y gastric bypass (RYGB) and the sleeve gastrectomy (SG), cause significant, ongoing bone loss...
April 2016: Integrative Medicine
https://www.readbyqxmd.com/read/27280871/bariatric-surgery-and-vitamin-d-key-messages-for-surgeons-and-clinicians-before-and-after-bariatric-surgery
#8
Leigh A Peterson
Obesity is the most widespread nutritional problem globally. Bariatric surgery is the preeminent long-term obesity treatment. Bariatric procedures manipulate the intestines to produces malabsorption and/or restrict the size of the stomach. The most enduring bariatric procedure is the Roux-en-Y gastric bypass, which utilizes both restriction (small stomach pouch) and malabsorption (duodenum bypass). The in-vogue procedure is the vertical sleeve gastrectomy - resection of the greater curvature of the stomach (predominantly restrictive)...
October 2016: Minerva Chirurgica
https://www.readbyqxmd.com/read/27277557/-nutritional-deficiencies-and-supplementation-after-metabolic-surgery
#9
C Stroh, F Meyer, T Manger
Increasing prevalence of morbid obesity in Germany is associated with an increasing number of bariatric surgical interventions.Based on the effectiveness of bariatric surgery with regard to a significant reduction of body weight and comorbidity as well as improvement of the quality of life compared with conservative measures, its value and impact has been substantially increased. Long-term metabolic deficits such as nutrient deficiencies can be considered the main risks of various restrictive, combined and malabsorptive procedures of bariatric surgery...
September 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27146660/investigating-nutritional-deficiencies-in-a-group-of-patients-3%C3%A2-years-post-laparoscopic-sleeve-gastrectomy
#10
Nazy Zarshenas, Maria Nacher, Ken W Loi, John O Jorgensen
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) as a single-stage procedure has shown to be effective in achieving significant weight loss and resolving obesity-related co-morbidities. However, its nutrition consequences have not been extensively explored. This study aims to investigate weight loss and evolution of nutritional deficiencies in a group of patients 3 years post LSG. METHODS: Retrospective data of a group of patients, 3 years following LSG as a stand-alone procedure was collected...
May 5, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27053936/bariatric-surgery-bad-to-the-bone-part-1
#11
REVIEW
Lara Pizzorno
Obesity is now a global epidemic affecting a significant and rapidly increasing number of adults, adolescents, and children. As the incidence of obesity has increased, so has the use of bariatric surgery as a medical solution. A growing number of studies now report that, despite calcium and vitamin D supplementation, the most frequently performed types of bariatric surgery, the Roux-en-Y gastric bypass and the sleeve gastrectomy, cause significant ongoing bone loss. In resources available to the general public and to physicians, this adverse outcome is rarely mentioned or is attributed solely to reduced calcium absorption...
March 2016: Integrative Medicine
https://www.readbyqxmd.com/read/27036669/vitamin-d-status-and-supplementation-before-and-after-bariatric-surgery-a-comprehensive-literature-review
#12
REVIEW
Leigh A Peterson, Xiange Zeng, Christine P Caufield-Noll, Michael A Schweitzer, Thomas H Magnuson, Kimberley E Steele
BACKGROUND: Bariatric surgery is the most effective long-term weight loss method. The most common procedures are Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG). Bariatric patients are at high risk of vitamin D deficiency (VDD) and insufficiency (VDI), which are associated with skeletal and nonskeletal ailments. There is no consensus regarding the optimal treatment for VDD/VDI in bariatric patients. OBJECTIVES: To critically examine the literature on vitamin D status (serum 25[OH]D concentrations) pre- and postbariatric surgery as well as supplementation regimens currently used...
March 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/26895117/%C3%A2-gastric-bypass%C3%A2-or-%C3%A2-sleeve-gastrectomy%C3%A2-for-morbid-obesity-a-systematic-review
#13
Hichem Jerraya, Mehdi Khalfallah, Ramzi Nouira, Chadli Dziri
BACKGROUND: Bariatric surgery represents an efficient treatment of morbid obesity allowing not only weight loss but also the control of comorbidities related to obesity. Although the sleeve gastrectomy and gastric bypass are currently the two most common procedures, the superiority of one over another and the indications remain imprecise. AIM: The aim of this work was to provide an evidence based answer to the following questions: What is the most efficient surgical procedure: gastric bypass or sleeve gastrectomy regarding weight loss, postoperative morbidity and remission of comorbidities related to obesity? METHODS: A literature search has been conducted in the data bases of Pubmed, Cochrane Library and Scopus during the period between January 2008 to March 2015, with the keywords "Gastric Bypass" and "Sleeve Gastrectomy"...
October 2015: La Tunisie Médicale
https://www.readbyqxmd.com/read/26843085/maintenance-of-multivitamin-supplements-after-sleeve-gastrectomy
#14
Jaime Ruiz-Tovar, Carolina Llavero, Lorea Zubiaga, Evangelina Boix
INTRODUCTION: After all bariatric procedures, multivitamin supplements are uniformly prescribed to minimize eventual deficiencies. These supplements are usually maintained long time, even during the whole life after malabsorptive techniques, while these are maintained at least during 1 year after restrictive procedures. Given that sleeve gastrectomy does not alter intestinal absorption, the supplements are possibly unnecessary, once the patient can take an adequate diet. PATIENTS AND METHODS: A prospective randomized study of patients undergoing a laparoscopic sleeve gastrectomy was performed...
October 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26797718/nutritional-status-prior-to-laparoscopic-sleeve-gastrectomy-surgery
#15
Shiri Sherf Dagan, Shira Zelber-Sagi, Muriel Webb, Andrei Keidar, Asnat Raziel, Nasser Sakran, David Goitein, Oren Shibolet
BACKGROUND: Two main causes for nutrient deficiencies following bariatric surgery (BS) are pre-operative deficiencies and favoring foods with high-energy density and poor micronutrient content. The aims of this study were to evaluate nutritional status and gender differences and the prevalence of nutritional deficiencies among candidates for laparoscopic sleeve gastrectomy (LSG) surgery. METHODS: A cross-sectional analysis of pre-surgery data collected as part of a randomized clinical trial on 100 morbidly obese patients with non-alcoholic fatty liver disease (NAFLD) admitted to LSG surgery at Assuta Medical Center between February 2014 and January 2015...
September 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26350034/the-impact-of-vitamin-d-calcium-protein-supplementation-and-physical-exercise-on-bone-metabolism-after-bariatric-surgery-the-babs-study
#16
Christian Muschitz, Roland Kocijan, Judith Haschka, Afrodite Zendeli, Thomas Pirker, Corinna Geiger, Andrea Müller, Bettina Tschinder, Annemarie Kocijan, Christina Marterer, Arastoo Nia, Gabriela Katharina Muschitz, Heinrich Resch, Peter Pietschmann
Laparoscopic Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are common and effective methods to treat severe obesity, but these procedures can adversely influence bone metabolism and areal bone mineral density (aBMD). This was a prospective 24-month single-center interventional two-arm study in 220 women and similarly aged men (median age 40.7 years) with a body mass index (BMI) >38 kg/m(2) after RYGB and SG procedures. Patients were randomized into: 1) an intervention group receiving: 28,000 IU cholecalciferol/wk for 8 weeks before bariatric surgery, 16,000 IU/wk and 1000 mg calciummonocitrate/d after surgery, daily BMI-adjusted protein supplementation and physical exercise (Nordic walking, strength perseverance, and equipment training); 2) a non-intervention group: no preoperative loading, nutritional supplementation, or obligatory physical exercise...
March 2016: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/26205215/micronutrient-and-protein-deficiencies-after-gastric-bypass-and-sleeve-gastrectomy-a-1-year-follow-up
#17
Eric O Verger, Judith Aron-Wisnewsky, Maria Carlota Dao, Brandon D Kayser, Jean-Michel Oppert, Jean-Luc Bouillot, Adriana Torcivia, Karine Clément
BACKGROUND: Roux-en-Y gastric bypass (GBP) and sleeve gastrectomy (SG) have increased dramatically, potentially increasing the prevalence of nutritional deficiencies. The aim of this study was to analyze the effects of food restriction during the first year after bariatric surgery (BS) on nutritional parameters. METHODS: Twenty-two and 30 obese patients undergoing GBP and SG were prospectively followed at baseline and 3, 6, and 12 months after BS (N = 14 and N = 19 at T12)...
April 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26193177/two-year-outcomes-on-bone-density-and-fracture-incidence-in-patients-with-t2dm-randomized-to-bariatric-surgery-versus-intensive-medical-therapy
#18
RANDOMIZED CONTROLLED TRIAL
Adam H Maghrabi, Kathy Wolski, Beth Abood, Angelo Licata, Claire Pothier, Deepak L Bhatt, Steven Nissen, Stacy A Brethauer, John P Kirwan, Philip R Schauer, Sangeeta R Kashyap
OBJECTIVE: To determine the 2-year outcomes of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) vs. intensive medical therapy (IMT) on lean body mass, total bone mass, and bone mineral density (BMD) measures from the STAMPEDE trial. METHODS: 54 subjects (BMI: 36 ± 1 kg/m(2) , age: 48 ± 4 years) with type 2 diabetes (T2DM) (HbA1c : 9.7 ± 2%) were randomized to IMT, RYGB, or SG and underwent DXA at baseline and at 1 and 2 years. RESULTS: At 2 years, the reduction in BMI was similar after RYGB and SG and was greater than IMT (P < 0...
December 2015: Obesity
https://www.readbyqxmd.com/read/25980331/preoperative-micronutrient-status-in-morbidly-obese-patients-before-undergoing-bariatric-surgery-results-of-a-cross-sectional-study
#19
COMPARATIVE STUDY
Eva Wolf, Markus Utech, Peter Stehle, Martin Büsing, Birgit Stoffel-Wagner, Sabine Ellinger
BACKGROUND: Reliable information on micronutrient status before bariatric surgery is needed to optimize preoperative nutritional status and postoperative nutritional therapy. OBJECTIVE: To investigate the pro-/vitamin and mineral status and its association with nutrient intake in morbidly obese patients seeking bariatric surgery SETTING: Klinikum Vest, Recklinghausen, Germany. METHODS: The cross-sectional study investigated retinol, ascorbic acid, tocopherol, and β-carotene (high-pressure liquid chromatography), 25-hydroxycholecalciferol (enzyme-linked immunosorbent assay), and calcium, phosphate, and magnesium (photometry) in serum/plasma in 43 patients (body mass index: 52...
September 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/25949239/determinants-of-secondary-hyperparathyroidism-in-bariatric-patients-after-roux-en-y-gastric-bypass-or-sleeve-gastrectomy-a-pilot-study
#20
Andreas Alexandrou, Evangelia Tsoka, Eleni Armeni, Demetrios Rizos, Theodoros Diamantis, Areti Augoulea, Constantinos Panoulis, Theodoros Liakakos, Irene Lambrinoudaki
Objective. Nutritional deficiencies are common after bariatric surgery. We aimed to assess the prevalence and possible predictors of secondary hyperparathyroidism (SHPT) in bariatric patients. Methods. A total of 95 patients who had undergone Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) were assessed after a median of 3 years after surgery. Anthropometric/demographic and weight-loss parameters were compared according to the presence of SHPT, independently for men/premenopausal women and postmenopausal women...
2015: International Journal of Endocrinology
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