Do Specialized Bariatric Multivitamins Lower Deficiencies After Sleeve Gastrectomy?

Autor: Smelt HJM; Obesity Center, Catharina Hospital, Michelangelolaan 2, P.O. Box 1350, 5602 ZA, Eindhoven, The Netherlands. marieke.smelt@catharinaziekenhuis.nl., van Loon S; Department of Clinical Chemistry, Catharina Hospital, Eindhoven, The Netherlands., Pouwels S; Department of Surgery, Haaglanden Medical Center, The Hague, The Netherlands., Boer AK; Department of Clinical Chemistry, Catharina Hospital, Eindhoven, The Netherlands., Smulders JF; Obesity Center, Catharina Hospital, Michelangelolaan 2, P.O. Box 1350, 5602 ZA, Eindhoven, The Netherlands.; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands., Aarts EO; Praeclarum BV, Oosterbeek, The Netherlands.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2020 Feb; Vol. 30 (2), pp. 427-438.
DOI: 10.1007/s11695-019-04191-x
Abstrakt: Background: Vitamin and mineral deficiencies are common after a sleeve gastrectomy (SG). The aim of this study is to examine the effectiveness of a specialized bariatric multivitamin (WLS Optimum) for SG patients on deficiencies compared with a regular multivitamin (MVS) for up to 5 years.
Methods: Data of all patients who underwent a SG procedure in the Catharina Hospital Eindhoven (CZE) between July 2011 and July 2016 were collected and retrospectively analyzed. All patients who completed a preoperative blood test and at least one blood withdrawal during the first operative year were included in this study.
Results: This study included 970 patients; 291 patients in the WLS-user group and 679 patients in the non-WLS-user group. In favor of the user group, significantly less de novo deficiencies were found of vitamin B 1 (2 years) and vitamin B 6 (two and three), folic acid (1 and 2 years), and vitamin B 12 (at 1 year). Binomial logistic regression showed a significant influence of multivitamin supplementation mainly on ferritin; vitamins B 1 , B 6 , B 12 , and D; and folic acid, (all p < 0.05). The total number of de novo deficiencies was significantly reduced during the whole study for all WLS Optimum users.
Conclusions: Vitamin deficiencies are common, and postoperative nutritional management after SG is underestimated. The use of a specialized multivitamin supplement resulted in higher mean serum concentrations and less deficiencies of vitamin B 1 , folic acid, and vitamin B 12 . This study shows that SG patients benefit from the specialized multivitamin supplements, but adjustments are required for iron and vitamin B 6 content.
Databáze: MEDLINE
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