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Cited by 79Bariatric Surgery and OutcomesBone health and osteoporosis researchBone Metabolism and Diseases

Pérdida de masa ósea tras gastrectomía tubular: estudio prospectivo comparativo con el bypass gástrico

Nogués, Xavier, Goday, Albert, Peña, Maria Jesus, Benaiges, David, de Ramón, Marta, Crous, Xenia, Vial, Manuel, Pera, Manuel +3 more·2010·Cirugía Española
DOI 10.1016/j.ciresp.2010.04.008
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Abstract

Introduction Bariatric surgery is the most effective option for the treatment of patients with a high risk of complications due to their obesity. However, it brings about a series of changes in calcium and vitamin D metabolism and an increase in resorption which lead to a loss of bone mass.Aim The objective of this study is to compare sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) as regards loss of bone mass using bone densitometry and bone remodelling markers.Patients and methods Fifteen women with morbid obesity were included, 8 by SG and 7 by RYGB, with a mean age of 47.8+/-9 and mean body mass index 43.3+/-3.4. Bone mass measurements were made on the lumbar spine, femur and distal radius, and the bone remodelling markers N-telopeptide (NTx) and bone alkaline phosphatase (BALP), as well as vitamin D levels before and 12 months after surgery.Results A significant bone mass loss was observed was observed with SG and RYGB, in the lumbar spine and hip, whilst no differences were observed in the radial. The percentage bone mass loss was less in the column and femur after SG than with RYGB, although it did not reach statistical significance, 4.6%+/-4.4 (mean+/-SD) and 6.3%+/-5.4 (mean+/-SD), respectively. At 12 months the Ntx increased for both types of surgery, and the BAP was only increased for SG.Conclusion SG causes less, although not significant, bone mass loss compared to RYGB.

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Crossref · 10.1016/j.ciresp.2010.04.008

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  • Bone loss has been reported as early as 6 months after sleeve gastrectomy, with total hip -5.2%, femoral neck -7.0%, and a small lumbar spine decrease.

    “Bone loss has been reported as early as 6 months after SG (TH :-5.2% and FN :-7.0%, with had a small decrease at the LS)51.”

    From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [51]

  • A strong association between extent of weight loss after bariatric surgery and amount of bone loss has been documented by most but not all studies.

    “A strong association between extent of weight loss after bariatric surgery and amount of bone loss has been documented bymost40, 45, 51-53, 62, 67 but not all studies.63”

    From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [51]

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Authors
Nogués, X., Goday, A., Peña, M. J., Benaiges, D., de Ramón, M., Crous, X., Vial, M., Pera, M., Grande, L., Díez-Pérez, A., & Ramón, J. M.
Affiliations
Universitat Autònoma de Barcelona (ES)
ORCID
Venue
Cirugía Española
Publisher
Elsevier BV
Published
2010-08
Volume
88
Issue
2
Pages
103-109
ISSN
0009-739X (ISSN-L)
DOI
10.1016/j.ciresp.2010.04.008
OpenAlex
W2061039716
Cited by
79
References
23
Citations by year
2024: 1 · 2022: 2 · 2021: 4 · 2020: 10 · 2019: 9 · 2018: 7 · 2017: 4 · 2016: 4 · 2015: 6 · 2014: 15 · 2013: 7 · 2012: 9
FWCI
5.76
Type
journal article
Language
es
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
Cirugía Española (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
Keywords
bone loss, sleeve gastrectomy, Roux-en-Y gastric bypass, bariatric surgery, morbid obesity, bone mineral density, bone turnover markers, N-telopeptide, bone-specific alkaline phosphatase, vitamin D, calcium metabolism, bone resorption, lumbar spine, femur, women, postoperative complications, metabolic bone disease, osteoporosis

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