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Evaluation of Vitamin and Trace Element Requirements after Sleeve Gastrectomy at Long Term

Obesity Surgery volume 27, pages 1674–1682 (2017)Cite this article

An Erratum to this article was published on 22 March 2017

Abstract

Background

Nutritional deficiencies are common after bariatric surgery, but data are scarce after sleeve gastrectomy (SG) at long term.

Methods

We performed a prospective nutritional status evaluation before and at 2 and 5 years after SG in morbid obese patients receiving mulvitamin and mineral supplementation at a Spanish university hospital. One hundred seventy-six patients (49.3 ± 9.1 years and 46.7 ± 7.4 kg/m2) were evaluated; 51 of them were followed during 5 years. Anthropometric, compliance supplementation intake, and micronutrient evaluation were performed.

Results

Baseline concentrations were below normal values for 25(OH) vitamin D (73%), folic acid (16.5%), cobalamin (6.9%), pyridoxine (12%), thiamine (3.4%), and copper (0.5%). Anemia was found in 23%. In 49% of the subjects, at least one micronutrient deficiency was found at 2 years after SG. Vitamin D deficiency persisted at 2 and 5 years higher than 30% of patients. Frequencies of deficiencies for folic acid, B12, B6, and B1 vitamins decreased significantly after 2 years with normalization at 5 years. Copper deficiency increased between 1 and 2 years and it persisted at 5 years after SG. Vitamin supplementation compliance decreased progressively from the first year after surgery (94.8 to 81% at 2 years and to 53% 5 years after surgery).

Conclusions

Vitamin D deficiency is the most prevalent long-term nutritional deficiency after SG. About half of patients show some micronutrient deficiency at medium long term, despite supplementation. A proactive follow-up is required to ensure a personalized and adequate supplementation in all surgically treated obese patients including those in which SG has been performed.

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Author information

Affiliations

  1. Endocrinology and Nutrition Service, Department of Medicine, Universitat Autònoma de Barcelona, Germans Trias i Pujol University Hospital and Research Institute, Carretera de Canyet sn, 08916, Badalona, Spain

    Silvia Pellitero, Eva Martínez, Rocío Puig & Manel Puig-Domingo

  2. Clinical Biochemistry Service, Germans Trias i Pujol University Hospital and Research Institute, Badalona, Barcelona, Spain

    Alba Leis, María Luisa Granada & Cruz Pastor

  3. Endocrinology and Nutrition Service, Hospital Santa Tecla, Tarragona, Spain

    Roxanna Zavala

  4. Surgery Department, Germans Trias i Pujol University Hospital and Research Institute, Badalona, Spain

    Pau Moreno & Jordi Tarascó

Authors
  1. Silvia Pellitero
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  2. Eva Martínez
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  3. Rocío Puig
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  4. Alba Leis
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  5. Roxanna Zavala
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  6. María Luisa Granada
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  7. Cruz Pastor
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  8. Pau Moreno
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  10. Manel Puig-Domingo
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Corresponding author

Correspondence to Silvia Pellitero.

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The authors declare that they have no conflict of interest.

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This research did not receive any specific grant from any funding agency in the public, commercial, or not-for-profit sector.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s11695-017-2654-1.

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Pellitero, S., Martínez, E., Puig, R. et al. Evaluation of Vitamin and Trace Element Requirements after Sleeve Gastrectomy at Long Term. OBES SURG 27, 1674–1682 (2017). https://doi.org/10.1007/s11695-017-2557-1

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  • DOI: https://doi.org/10.1007/s11695-017-2557-1

Keywords

  • Obesity
  • Vitamins supplementation
  • Nutritional deficiencies
  • Bariatric surgery
  • Sleeve gastrectomy