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Cited by 229Bariatric Surgery and OutcomesNutrition and Health in AgingClinical Nutrition and Gastroenterology

The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.

Pre- and Postoperative Nutritional Deficiencies in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy

Damms-Machado, Antje, Friedrich, Asja, Kramer, Klaus Michael, Stingel, Katrin, Meile, Tobias, Küper, Markus A., Königsrainer, Alfred, Bischoff, Stephan C.·2012·Obesity Surgery
DOI 10.1007/s11695-012-0609-0
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Abstract

Background Laparoscopic sleeve gastrectomy (LSG) has been identified as an innovative surgical approach for the treatment of obesity and is increasingly applied worldwide. However, data on outcome of LSG regarding nutrient deficiencies, protein status, and body composition are scarce.Methods Obese subjects (54; f:m = 4:1) scheduled for LSG were included in this study. Micronutrient analysis, protein status assessment, and bioimpedance measures were performed before and 1, 3, 6, and 12 months after LSG.Results In 51% of the subjects, at least one micronutrient deficiency was found prior to surgery. Baseline concentrations were below normal for 25-OH vitamin D (27%), iron (29%), vitamin B6 (11%), vitamin B12 (9%), folate (6%), and potassium (7%). Frequencies of deficiencies for vitamin B12, folate, iron, and vitamin B6 tended to increase following LSG within the first year after intervention. Also, parameters of protein status (albumin, transferrin, cholinesterase, and total protein) decreased. After surgery, bioimpedance measures indicated a reduction of total body fat, but also of body cell mass.Conclusions Preoperative micronutrient deficiencies were common in morbid obese individuals scheduled for LSG. LSG had a modest effect on micronutrient status by further reducing iron, vitamin B12, vitamin B6, and folate within the first year after intervention. Our data suggest that especially obese patients with preoperative deficits require control and supplementation of micronutrients and protein in the postoperative period.

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Metadata

Authors
Damms-Machado, A., Friedrich, A., Kramer, K. M., Stingel, K., Meile, T., Küper, M. A., Königsrainer, A., & Bischoff, S. C.
Affiliations
  • University of Hohenheim (DE)
  • München Klinik Bogenhausen (DE)
  • University of Tübingen (DE)
Corresponding author
Bischoff, Stephan C.
ORCID
Venue
Obesity Surgery
Publisher
Springer Science and Business Media LLC
Published
2012-03-09
Volume
22
Issue
6
Pages
881-889
ISSN
  • 0960-8923 (ISSN-L)
  • 1708-0428
DOI
10.1007/s11695-012-0609-0
OpenAlex
W1966826192
Cited by
229
References
57
Citations by year
2026: 5 · 2025: 7 · 2024: 9 · 2023: 12 · 2022: 12 · 2021: 30 · 2020: 19 · 2019: 14 · 2018: 13 · 2017: 22 · 2016: 22 · 2015: 20 · 2014: 20 · 2013: 19 · 2012: 5
FWCI
20.90
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Obesity Surgery (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Bundesministerium für Bildung und Forschung
  • Ethicon Endo-Surgery
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords
laparoscopic sleeve gastrectomy, obesity
MeSH terms
Adult, Avitaminosis, Body Composition, Female, Follow-Up Studies, Humans, Male, Obesity, Morbid, Laparoscopy, Postoperative Period, Gastroplasty, Body Mass Index, Treatment Outcome, Micronutrients, Dietary Supplements, Malnutrition, Preoperative Period

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