Skip to main content
SpringerLink
Log in

Vitamin Deficiencies After Bariatric Surgery?

  • Chapter
  • First Online:
Morbid Obesity in Adolescents

Abstract

Although complication rates of bariatric surgery in itself are rather low when performed in specialized centers, there is a possibility for side effects in the follow-up. Patients after bariatric surgery have a tendency of showing poor treatment- and follow-up adherence and micronutrient deficiencies can occur. Deficiencies of micronutrients before and after Bariatric surgery are not well studied but are nonetheless a very important issue in order to prevent adverse effects caused by dramatically changed eating habits. Strict long-term follow-up is necessary in order to identify such deficiencies, and further results are needed to provide guidelines for optimal micronutrient supplementation after surgical procedures for weight reduction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 189.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aasheim ET, Bjorkman S, Sovik TT, Engstrom M, Hanvold SE, Mala T et al (2009) Vitamin status after bariatric surgery: a randomized study of gastric bypass an duodenal switch. Am J Clin Nutr 90:15–22

    Article  PubMed  Google Scholar 

  • Alvarez-Leite JI (2004) Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care 7:569–575

    Article  PubMed  Google Scholar 

  • Ammor N, Berthoud L, Gerber A, Giusti V (2009) Nutritional deficiencies in candidates for bariatric surgery. Rev Med Suisse 5:676–679

    PubMed  Google Scholar 

  • Bernert CP, Ciangura C, Coupaye M, Czernichow S, Bouillot JL, Basdevant A (2007) Nutritional deficiency after gastric bypass: diagnosis, prevention and treatment. Diabetes Metab 33:13–24

    Article  CAS  Google Scholar 

  • Bloomberg RD, Fleishman A, Nalle JE, Herron DM, Kini S (2005) Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg 15:145–154

    Article  PubMed  Google Scholar 

  • Boylan ML, Sugerman HJ, Driskell JA (1988) Vitamin E, vitamin B-6, vitamin B-12, and folate status of gastric bypass surgery patients. J Am Diet Assoc 88:579–585

    CAS  PubMed  Google Scholar 

  • Bukoff M, Carlson S (1981) Diet modifications and behavioral changes for bariatric gastric surgery. J Am Diet Assoc 78:158–161

    CAS  PubMed  Google Scholar 

  • Butler CC, Vidal-Alaball J, Cannings-John R, McCaddon A, Hood K, Papaioannou A et al (2006) Oral vitamin B12 for vitamin B12 deficiency: a systematic review of randomized controlled trials. Fam Pract 23:279–285

    Article  PubMed  Google Scholar 

  • Carlin AM, Rao DS, Yager KM, Parikh NJ, Kapke A (2009) Treatment of vitamin D depletion after Roux-en-Y gastric bypass: a randomized prospective clinical trial. Surg Obes Relat Dis 5:444–449

    Article  PubMed  Google Scholar 

  • Clements RH, Katasani VG, Palepu R, Leeth RR, Leath TD, Roy BP et al (2006) Incidence of vitamin deficiency after laparoscopic Roux-en-Y gastric bypass in a university hospital setting. Am Surg 72:1196–1204

    PubMed  Google Scholar 

  • Clements RH, Yellumahanthi K, Wesley M, Ballem N, Bland KI (2008) Hyper-parathyroidism and vitamin D deficiency after laparoscopic gastric bypass. Am Surg 74:469–474

    PubMed  Google Scholar 

  • Davies DJ, Baxter JM, Baxter JN (2007) Nutritional deficiencies after bariatric surgery. Obes Surg 17:1150–1158

    Article  CAS  PubMed  Google Scholar 

  • Decker GA, Swain JM, Crowell MD, Scolapio JS (2007) Gastrointestinal and nutritional complications after bariatric surgery. Am J Gastroenterol 102:2571–2580

    Article  PubMed  Google Scholar 

  • Diniz Mde F, Diniz MT, Sanches SR, Salgado PP, Valadão MM, Araújo FC et al (2004) Elevated serum parathormone after Roux-en-Y gastric bypass. Obes Surg 14:1222–1226

    Article  PubMed  Google Scholar 

  • Dolan K, Hatzifotis M, Newbury L, Lowe N, Fielding G (2004) A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg 240:51–56

    Article  PubMed Central  PubMed  Google Scholar 

  • Feit H, Glasberg M, Ireton C, Rosenberg RN, Thal E (1982) Peripheral neuropathy and starvation after gastric portioning for morbid obesity. Ann Intern Med 96:453–455

    Article  CAS  PubMed  Google Scholar 

  • Gasteyger C, Suter M, Gaillard RC, Giusti V (2008) Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation. Am J Clin Nutr 87:1128–1133

    CAS  PubMed  Google Scholar 

  • Goldner WS, Stoner JA, Lyden E, Thompson J, Taylor K, Larson L et al (2009) Finding the optimal dose of vitamin D following Roux-en-Y gastric bypass: a prospective, randomized pilot clinical trial. Obes Surg 2006(243):701–704

    Google Scholar 

  • Goode LR, Brolin RE, Chowdhury HA, Shapses SA (2004) Bone and gastric bypass surgery: effects of dietary calcium and vitamin D. Obes Res 12:40–47

    Article  CAS  PubMed  Google Scholar 

  • Guelinckx I, Devlieger R, Vansant G (2009) Reproductive outcome after bariatric surgery: a critical review. Hum Reprod Update 15(2):189–201

    Article  PubMed  Google Scholar 

  • Halverson JD (1986) Micronutrient deficiencies after gastric bypass for morbid obesity. Am Surg 52:594–598

    CAS  PubMed  Google Scholar 

  • Hatizifotis M, Dolan K, Newbury L, Fielding G (2003) Symptomatic vitamin A deficiency following biliopancreatic diversion. Obes Surg 13:655–657

    Article  PubMed  Google Scholar 

  • Juhasz-Pocsine K, Rudnicki SA, Archer RL, Harik SI (2007) Neurologic complications of gastric bypass surgery for morbid obesity. Neurology 68:1843–1850

    Article  PubMed  Google Scholar 

  • Khazai N, Judd SE, Tangpricha V (2008) Calcium and vitamin D: skeletal and extraskeletal health. Curr Rheumatol Rep 10:110–117

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Kushner R (2000) Managing the obese patient after bariatric surgery: a case report of severe malnutrition and review of the literature. JPEN J Parenter Enteral Nutr 24:126–132

    Article  CAS  PubMed  Google Scholar 

  • Lakhani SV, Shah HN, Alexander K, Finelle FC, Kirkpatrick JR, Koch TR (2008) Small intestinal bacterial overgrowth and thiamin deficiency after Roux-en-Y gastric bypass surgery in obese patients. Nutr Res 28:293–298

    Article  CAS  PubMed  Google Scholar 

  • Lapointe-Gagne XA, Gagner M (2005) Micronutrient deficiencies after laparoscopic gastric bypass and duodenal switch—A comparative study. Surg Obes Relat Dis 1:284–290

    Article  Google Scholar 

  • Loh Y, Watson WD, Verma A, Chang ST, Stocker DJ, Labutta RJ (2004) Acute Wernicke’s encephalopathy following bariatric surgery: clinical course and MRI correlation. Obes Surg 14:129–132

    Article  PubMed  Google Scholar 

  • MacLean JB (1982) Wernicke’s encephalopathy after gastric placation. JAMA 248:1311

    Article  CAS  PubMed  Google Scholar 

  • Malone M (2008) Recommended nutritional supplements for bariatric surgery patients. Ann Pharmocother 42:1851–1858

    Article  CAS  Google Scholar 

  • Mizon C, Ruz M, Csendes A, Carrasco F, Rebolledo A, Codoceo J et al (2007) Persistent anemia after Roux-en-Y gastric bypass. Nutrition 23:277–280

    Article  PubMed  Google Scholar 

  • Oxentenko AS, Litin SC (2009) Clinical pearls in gastroenterology. Mayo Clin Proc 84:906–911

    Article  PubMed Central  PubMed  Google Scholar 

  • Pournaras DJ, Le Roux CW (2009) After bariatric surgery, what vitamins should be measured and what supplements should be given? Clin Endocrinol (Oxf) 71:322–325

    Article  CAS  Google Scholar 

  • Prodan CI, Bottomley SS, Vincent AS, Cowan LD, Meerveld BG, Holland NR et al (2009) Copper deficiency after gastric surgery: a reason for caution. Am J Med Sci 337:256–258

    Article  PubMed  Google Scholar 

  • Rhode BM, Tamin H, Gilfix BM, Sampalis JS, Nohr C, MacLean LD (1995) Treatment of B12 deficiency after gastric surgery for severe obesity. Obes Surg 5:154–158

    Article  PubMed  Google Scholar 

  • Schweitzer DH, Posthuma EF (2008) Prevention of vitamin and mineral deficiencies after bariatric surgery: evidence and algorithms. Obes Surg 18:1485–1488

    Article  PubMed  Google Scholar 

  • Slater GH, Ren CJ, Siegel N, Williams T, Barr D, Wolfe B et al (2004) Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg 8:48–55

    Article  PubMed  Google Scholar 

  • Sriram K, Lonchyna VA (2009) Micronutrient supplementation in adult nutrition therapy: practical considerations. JPEN J Parenter Enteral Nutr 33:548–562

    Article  CAS  PubMed  Google Scholar 

  • Tondapu P, Provost D, Adams-Huet B, Sims T, Chang C, Sakhaee K (2009) Comparison of the absorption of calcium carbonate and calcium citrate after Roux-en-Y gastric bypass. Obes Surg 19:1256–1261

    Article  CAS  PubMed  Google Scholar 

  • Vargas-Ruiz AG, Hernandez-Rivera G, Herrera MF (2008) Prevalence of iron, folate, and vitamin B12 deficiency anemia after laparoscopic Roux-en-Y gastric bypass. Obes Surg 18:288–293

    Article  PubMed  Google Scholar 

Further Reading

  • Xanthakos SA (2009) Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin North Am 56(5):1105–1121

    Article  PubMed Central  PubMed  Google Scholar 

  • Kelly AS, Barlow SE, Rao G (2013) Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. Circulation 128(15):1689–1712

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Austrian Academic Institute for Clinical Nutrition, Alserstraße 14/4a, 1090, Vienna, Austria

    Oliver Helk & Kurt Widhalm

Authors
  1. Oliver Helk
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kurt Widhalm
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Oliver Helk .

Editor information

Editors and Affiliations

  1. Department of Pediatrics Head, Division Nutrition and Metabolism, Medical University of Vienna, Vienna, Austria

    Kurt Widhalm

  2. Department of Surgery, Vienna, Austria

    Gerhard Prager

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Wien

About this chapter

Cite this chapter

Helk, O., Widhalm, K. (2015). Vitamin Deficiencies After Bariatric Surgery?. In: Widhalm, K., Prager, G. (eds) Morbid Obesity in Adolescents. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0968-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-0968-7_10

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0967-0

  • Online ISBN: 978-3-7091-0968-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation