Comparison of Nutritional Deficiencies and Complications following Vertical Sleeve Gastrectomy, Roux-en-y Gastric Bypass, and Biliopancreatic Diversion with Duodenal Switch
Year: 2008
Type: article
Study design: Observational Study
Abstract: Background: The prevalence of morbid obesity continues to increase and bariatric surgery remains the superior way to treat morbid obesity and related disorders.Although bariatric surgery can produce significant weight loss and alleviate comorbidities, it can also impact nutritional status in ways that have not been adequately studied.Objective: The objective of the present study was to compare the incidence of nutritional deficiencies, significant complications, and amount of weight loss in patients undergoing three different bariatric surgery procedures: Vertical Sleeve Gastrectomy (VSG); Roux-en-y Gastric Bypass (RNY-GB); and Biliopancreatic Diversion with Duodenal Switch (BPD-DS).In addition, the role of the registered dietitian (RD) in the outcome of bariatric patients was explored.Design: A review of all patients undergoing bariatric surgery between April 2006 and December 2007 (n = 119) was conducted from prospectively maintained medical records of a single bariatric surgery practice.Laboratory data related to specific nutrients, hyperlipidemia, and anemia, concerns about compliance with nutrient supplement intake and dietary protein intake, and complication and post-surgery hospitalization rates were compared among patients undergoing the three surgical procedures, VSG, RNY-GB, and BPD-DS.Patients were followed for a minimum of 6 months and a maximum of 18 months after surgery.Results: Vitamin B12 and calcium deficiency were uncommon after surgery at 1.2% and 2.6%, respectively, among recipients of all surgery types (p = 0.506, and p = 0.092, respectively).The overall rate of folate deficiency was 7.2% and the rate of BPD-DS patients developing folate deficiency after surgery was 37.5% (p = 0.002).The overall rate of anemia was 33.8% and the v
Author: Kinsy Rae Miller
Institution: Bowling Green State University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funder: Bowling Green State University
OpenAlex ID: W2603493313