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Vertical Sleeve Gastrectomy Has Better Weight Evolution and Serum Concentrations of Vitamin D when Compared with Roux-Y Gastric Bypass

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Abstract

Objective

The objective of this study is to compare the weight evolution and serum concentrations of vitamin D in individuals undergoing Roux-en-Y Gastric Bypass (RYGB) and Sleeve after 1 follow-up year.

Methodology

Descriptive, prospective, and longitudinal study, with 108 individuals divided into 2 groups: RYGB (55 patients) and Sleeve (53), evaluated preoperatively, and at 6 and 12 postoperatively months. Anthropometric data, serum concentrations of 25(OH)D, calcium, and parathyroid hormone were analyzed.

Results

The Sleeve group showed greater reductions in excess weight and excess body mass index (BMI) when compared with the RYGB group at both times (p < 0.001). Besides, after 12 months, those who had undergone the Sleeve procedure also had higher percentages of surgical success (84.4% versus 65.0%, p = 0.038). The prevalence of preoperative inadequacy of 25(HO)D in both groups was 78.7%. After 6 months, there was an increase in serum concentrations of 25(HO)D in both groups (p < 0.001), but without significant differences between the groups (p = 0.154). In the comparison between 6 and 12 months, there was only a reduction for the RYGB group (p = 0.001). Also, when comparing both groups, the means of vitamin D in patients undergoing RYGB were also lower after 12 months (p = 0.003). There was a negative correlation between vitamin D and parathyroid hormone (r = − 0.235 p = 0.030). The mean serum concentrations of calcium were adequate at all times.

Conclusion

Patients undergoing the Sleeve procedure had a better evolution in weight loss and are at a lower risk of vitamin D inadequacy than those undergoing RYGB.

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Funding

The different stages of this study are funded by the Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ).

Author information

Authors and Affiliations

  1. Center for Research on Micronutrients (NPqM) of the Institute of Nutrition Josué de Castro of UFRJ, School of Medicine at the Federal University of Rio de Janeiro (UFRJ), Carlos Chagas avenue, 373. Edifício do Centro de Ciências da Saúde, 2° floor, room 49, Cidade Universitária - Ilha do Fundão, Rio de Janeiro, 21.941-902, Brazil

    Bruno Rodrigues, Adryana Cordeiro & Sabrina Cruz

  2. Multidisciplinary Center for Bariatric and Metabolic Surgery, Center for Research on Micronutrients (NPqM) of the Institute of Nutrition Josué de Castro of UFRJ, School of Medicine of the Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, 21.941-902, Brazil

    Silvia Pereira & Carlos Saboya

  3. Federal University of São Paulo (UNIFESP), São Paulo, 21.941-902, Brazil

    Carlos Saboya

  4. Brazilian Society of Bariatric and Metabolic Surgery, Rio de Janeiro, 21.941-902, Brazil

    Carlos Saboya

  5. ENSP/FIOCRUZ, Rio de Janeiro, 21.941-902, Brazil

    Andréa Ramalho

  6. Department of Social and Applied Nutrition of the Institute of Nutrition at UFRJ, Center for Research on Micronutrients (NPqM) of the Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, 21.941-902, Brazil

    Andréa Ramalho

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  1. Bruno Rodrigues
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  2. Adryana Cordeiro
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Correspondence to Sabrina Cruz.

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Rodrigues, B., Cordeiro, A., Cruz, S. et al. Vertical Sleeve Gastrectomy Has Better Weight Evolution and Serum Concentrations of Vitamin D when Compared with Roux-Y Gastric Bypass. OBES SURG 30, 4794–4801 (2020). https://doi.org/10.1007/s11695-020-04815-7

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  • DOI: https://doi.org/10.1007/s11695-020-04815-7

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