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Bariatric Surgical Practice Guide pp 283–288Cite as

Anemia and Related Deficiencies in Bariatric Surgery

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Abstract

Anemia is considered a global disease, with the incidence being especially very high in developing countries. After bariatric surgery, almost two-thirds of the population may be affected by anaemia with preoperative existing deficiency being an important contributing factor besides the consequences of bariatric surgery like pouch hypoacidity, bypassed small bowel, red meat intolerance etc.

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References

  1. Aisen P, Enns C, Wessling-Resnick M. Chemistry and biology of eukaryotic iron metabolism. Int J Biochem Cell Biol. 2001;33(10):940–59.

    Article  CAS  PubMed  Google Scholar 

  2. Reynolds E. Vitamin B12, folic acid, and the nervous system. Lancet Neurol. 2006;5(11):949–60.

    Article  CAS  PubMed  Google Scholar 

  3. Tamura T, Picciano MF. Folate and human reproduction. Am J Clin Nutr. 2006;83(5):993–1016.

    CAS  PubMed  Google Scholar 

  4. Crider KS, Bailey LB, Berry RJ. Folic acid food fortification-its history, effect, concerns, and future directions. Nutrients. 2011;3(3):370–84.

    Article  PubMed  PubMed Central  Google Scholar 

  5. McNulty H, Pentieva K. Folate bioavailability. Proc Nutr Soc. 2004;63(4):529–36.

    Article  CAS  PubMed  Google Scholar 

  6. Salgado W, Modotti C, Nonino CB, Ceneviva R. Anemia and iron deficiency before and after bariatric surgery. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2014;10(1):49–54.

    Article  Google Scholar 

  7. Kotkiewicz A, Donaldson K, Dye C, Rogers AM, Mauger D, Kong L, et al. Anemia and the Need for Intravenous Iron Infusion after Roux-en-Y Gastric Bypass. Clin Med Insights Blood Disord. 2015;8:9–17.

    PubMed  PubMed Central  Google Scholar 

  8. Del Villar Madrigal E, Neme-Yunes Y, Clavellina-Gaytan D, Sanchez HA, Mosti M, Herrera MF. Anemia after Roux-en-Y gastric bypass. How feasible to eliminate the risk by proper supplementation? Obes Surg. 2015;25(1):80–4.

    Article  PubMed  Google Scholar 

  9. Karefylakis C, Näslund I, Edholm D, Sundbom M, Karlsson FA, Rask E. Prevalence of anemia and related deficiencies 10 years after gastric bypass – a retrospective study. Obes Surg. 2015;25(6):1019–23.

    Article  PubMed  Google Scholar 

  10. Ben-Porat T, Elazary R, Yuval JB, Wieder A, Khalaileh A, Weiss R. Nutritional deficiencies after sleeve gastrectomy: can they be predicted preoperatively? Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2015;11(5):1029–36.

    Article  Google Scholar 

  11. Van Rutte PWJ, Aarts EO, Smulders JF, Nienhuijs SW. Nutrient deficiencies before and after sleeve gastrectomy. Obes Surg. 2014;24(10):1639–46.

    Article  PubMed  Google Scholar 

  12. Van der Beek ESJ, Monpellier VM, Eland I, Tromp E, van Ramshorst B. Nutritional deficiencies in gastric bypass patients; incidence, time of occurrence and implications for post-operative surveillance. Obes Surg. 2015;25(5):818–23.

    Article  PubMed  Google Scholar 

  13. Vargas-Ruiz AG, Hernández-Rivera G, Herrera MF. Prevalence of iron, folate, and vitamin B12 deficiency anemia after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2008;18(3):288–93.

    Article  PubMed  Google Scholar 

  14. Dallal RM, Leighton J, Trang A. Analysis of leukopenia and anemia after gastric bypass surgery. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2012;8(2):164–8.

    Article  Google Scholar 

  15. Wisse BE. The inflammatory syndrome: the role of adipose tissue cytokines in metabolic disorders linked to obesity. J Am Soc Nephrol. 2004;15(11):2792–800.

    Article  CAS  PubMed  Google Scholar 

  16. Homan J, Betzel B, Aarts EO, Dogan K, van Laarhoven KJHM, Janssen IMC, et al. Vitamin and mineral deficiencies after biliopancreatic diversion and biliopancreatic diversion with duodenal switch – the rule rather than the exception. Obes Surg. 2015;25(9):1626–32.

    Article  PubMed  Google Scholar 

  17. Obinwanne KM, Fredrickson KA, Mathiason MA, Kallies KJ, Farnen JP, Kothari SN. Incidence, treatment, and outcomes of iron deficiency after laparoscopic Roux-en-Y gastric bypass: a 10-year analysis. J Am Coll Surg. 2014;218(2):246–52.

    Article  PubMed  Google Scholar 

  18. Saif T, Strain GW, Dakin G, Gagner M, Costa R, Pomp A. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2012;8(5):542–7.

    Article  Google Scholar 

  19. Damms-Machado A, Friedrich A, Kramer KM, Stingel K, Meile T, Küper MA, et al. Pre- and postoperative nutritional deficiencies in obese patients undergoing laparoscopic sleeve gastrectomy. Obes Surg. 2012;22(6):881–9.

    Article  PubMed  Google Scholar 

  20. Aarts EO, Janssen IMC, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients? Obes Surg. 2011;21(2):207–11.

    Article  PubMed  Google Scholar 

  21. Kwon Y, Kim HJ, Lo Menzo E, Park S, Szomstein S, Rosenthal RJ. Anemia, iron and vitamin B12 deficiencies after sleeve gastrectomy compared to Roux-en-Y gastric bypass: a meta-analysis. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2014;10(4):589–97.

    Article  Google Scholar 

  22. Kushner RF, Shanta Retelny V. Emergence of pica (ingestion of non-food substances) accompanying iron deficiency anemia after gastric bypass surgery. Obes Surg. 2005;15(10):1491–5.

    Article  PubMed  Google Scholar 

  23. Kushner RF, Gleason B, Shanta-Retelny V. Reemergence of pica following gastric bypass surgery for obesity: a new presentation of an old problem. J Am Diet Assoc. 2004;104(9):1393–7.

    Article  PubMed  Google Scholar 

  24. Stabler SP, Allen RH, Dolce ET, Johnson MA. Elevated serum S-adenosylhomocysteine in cobalamin-deficient elderly and response to treatment. Am J Clin Nutr. 2006;84(6):1422–9.

    CAS  PubMed  Google Scholar 

  25. Zimmermann MB, Hurrell RF. Nutritional iron deficiency. Lancet Lond Engl. 2007;370(9586):511–20.

    Article  CAS  Google Scholar 

  26. Dogan K, Aarts EO, Koehestanie P, Betzel B, Ploeger N, de Boer H, et al. Optimization of vitamin suppletion after Roux-en-Y gastric bypass surgery can lower postoperative deficiencies: a randomized controlled trial. Medicine Baltimore. 2014;93(25):e169.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Gesquiere I, Lannoo M, Augustijns P, Matthys C, Van der Schueren B, Foulon V. Iron deficiency after Roux-en-Y gastric bypass: insufficient iron absorption from oral iron supplements. Obes Surg. 2014;24(1):56–61.

    Article  PubMed  Google Scholar 

  28. Malone M, Barish C, He A, Bregman D. Comparative review of the safety and efficacy of ferric carboxymaltose versus standard medical care for the treatment of iron deficiency anemia in bariatric and gastric surgery patients. Obes Surg. 2013;23(9):1413–20.

    Article  PubMed  Google Scholar 

  29. Majumder S, Soriano J, Louie Cruz A, Dasanu CA. Vitamin B12 deficiency in patients undergoing bariatric surgery: preventive strategies and key recommendations. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2013;9(6):1013–9.

    Article  Google Scholar 

  30. Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient – 2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obes Silver Spring Md. 2013;21 Suppl 1:S1–27.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Bariatric Division, Upper Gastrointestinal Surgery and Minimal Access Surgery Unit, GEM Hospital and Research Centre, Coimbatore, India

    Parimala Devi MSc & Praveen Raj Palanivelu MS, DNB, DNB (SGE), FALS, FMAS

Authors
  1. Parimala Devi MSc
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  2. Praveen Raj Palanivelu MS, DNB, DNB (SGE), FALS, FMAS
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Correspondence to Parimala Devi MSc .

Editor information

Editors and Affiliations

  1. Bariatric Division, Upper Gastrointestinal Surgery and Minimal Access Surgery Unit, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India

    Saravana Kumar

  2. Bariatric Division, Upper Gastrointestinal Surgery and Minimal Access Surgery Unit, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India

    Rachel Maria Gomes

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© 2017 Springer Nature Singapore Pte Ltd.

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Devi, P., Palanivelu, P.R. (2017). Anemia and Related Deficiencies in Bariatric Surgery. In: Kumar, S., Gomes, R. (eds) Bariatric Surgical Practice Guide. Springer, Singapore. https://doi.org/10.1007/978-981-10-2705-5_34

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  • DOI: https://doi.org/10.1007/978-981-10-2705-5_34

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2704-8

  • Online ISBN: 978-981-10-2705-5

  • eBook Packages: MedicineMedicine (R0)

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