Haemoglobin and Hematinic Status Before and After Bariatric Surgery over 4 years of Follow-Up
| Autor: | John P. New, Lucinda K. M. Summers, Khurshid Akhtar, Safwaan Adam, Christopher Slater, Siba Senapati, Handrean Soran, Zohaib Iqbal, Babur Ahmed, Nicholas J. Johal, Neel Dutta, Basil J. Ammori, Akheel A. Syed, Michael J. Shipton |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Sleeve gastrectomy Gastric bypass Original Contributions Endocrinology Diabetes and Metabolism medicine.medical_treatment Bariatric Surgery Anaemia State Medicine Hemoglobins Gastrectomy Medicine Humans Obesity Vitamin B12 Hematinic Morbid Retrospective Studies Nutrition and Dietetics biology business.industry Iron deficiency Folic acid deficiency Correction Retrospective cohort study Middle Aged medicine.disease Surgery Obesity Morbid Ferritin Vitamin B 12 Vitamin B12 deficiency England biology.protein Hematinics Female business Body mass index Follow-Up Studies |
| Zdroj: | Shipton, M J, Johal, N J, Dutta, N, Slater, C, Iqbal, Z, Ahmed, B, Ammori, B J, Senapati, S, Akhtar, K, Summers, L K M, New, J P, Soran, H, Adam, S & Syed, A A 2020, ' Haemoglobin and Hematinic Status Before and After Bariatric Surgery over 4 years of Follow-Up ', Obesity Surgery . https://doi.org/10.1007/s11695-020-04943-0 Obes Surg Obesity Surgery |
| DOI: | 10.1007/s11695-020-04943-0 |
| Popis: | Purpose Bariatric surgery is associated with deficiencies of vitamins and minerals, and patients are routinely advised supplements postoperatively. We studied prevalence of vitamin B12, folate and iron deficiencies and anaemia before and after bariatric surgery over 4 years of follow-up. Materials and Methods We performed a retrospective cohort analysis of 353 people with obesity, including 257 (72.8%) women, who underwent gastric bypass (252, 71.4%) or sleeve gastrectomy (101, 28.6%) at our National Health Service bariatric centre in Northwest England. Results At baseline, mean (standard error) age was 46.0 (0.6) years, body mass index 53.1 (0.4) kg/m2, serum vitamin B12 400.2 (16.4) pg/L, folate 7.7 (0.2) μg/L, iron 12.0 (0.3) μmol/L, ferritin 118.3 (8.4) μg/L and haemoglobin 137.9 (0.8) g/L. Frequency of low vitamin B12 levels reduced from 7.5% preoperatively to 2.3% at 48 months (P P P P P Conclusion There were notable rates of haematinic insufficiencies in bariatric surgical candidates preoperatively. Our study lends further support to regular supplementation with vitamin B12, folic acid, and iron in people undergoing bariatric surgery. |
| Databáze: | OpenAIRE |
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