Nett, Philipp C.; Borbély, Yves Michael; Kröll, Dino (2016). Micronutrient Supplementation after Biliopancreatic Diversion with Duodenal Switch in the Long Term. Obesity surgery, 26(10), pp. 2469-2474. Springer 10.1007/s11695-016-2132-1
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Micronutrient Supplementation after Biliopancreatic Diversion with Duodenal Switch in the Long Term.pdf - Published Version Available under License Publisher holds Copyright. Download (298kB) | Preview |
Background Malabsorptive bariatric surgery requires lifelongmicronutrientsupplementation.Basedontherecommendations, we assessed the number of adjustments of micronutrientsupplementationandtheprevalenceofvitaminandmineral deficiencies at a minimum follow-up of 5 years after biliopancreatic diversion with duodenal switch (BPD-DS). Methods Between October 2010 and December 2013, a total of 51 patients at a minimum follow-up of 5 years after BPDDS were invited for a clinical check-up with a nutritional blood screening test for vitamins and minerals. Results Forty-three of fifty-one patients (84.3 %) completed the blood sampling with a median follow-up of 71.2 (range 60–102) monthsafter BPD-DS. At that time,all patientswere supplemented with at least one multivitamin. However, 35 patients (81.4 %) showed either a vitamin or a mineral deficiencyoracombinationofit.Nineteenpatients(44.1%)were anemic,and17patients(39.5%)hadanirondeficiency.High deficiency rates for fat-soluble vitamins were also present in 23.2 % for vitamin A, in 76.7 % for vitamin D, in 7.0 % for vitamin E, and in 11.6 % for vitamin K. Conclusions Theresultsofourstudyshowthattheprevalence ofvitaminandmineraldeficienciesafterBPD-DSis81.4%at a minimum follow-up of 5 years. The initial prescription of micronutrientsupplementationandfurtheradjustmentsduring thefirstfollow-upwereinsufficient toavoidlong-term micronutrient deficiencies. Life-long monitoring of micronutrients at a specialized bariatric center and possibly a better
micronutrient supplementation, is crucial to avoid a deficient micronutrient status at every stage after malabsorptive bariatric surgery
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery |
UniBE Contributor: |
Nett, Philipp C., Borbély, Yves Michael, Kröll, Dino |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0960-8923 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Lilian Karin Smith-Wirth |
Date Deposited: |
24 May 2016 13:59 |
Last Modified: |
05 Dec 2022 14:54 |
Publisher DOI: |
10.1007/s11695-016-2132-1 |
PubMed ID: |
26983747 |
Uncontrolled Keywords: |
Biliopancreatic diversion with duodenal switch; Long-term follow-up; Micronutrient supplementation; Mineral deficiency; Vitamin deficiency |
BORIS DOI: |
10.7892/boris.80361 |
URI: |
https://boris.unibe.ch/id/eprint/80361 |
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