Micronutrient Status Assessment in Saudi Patients Prior to Laparoscopic Sleeve Gastrectomy: A Retrospective Study.
DOI:
https://doi.org/10.12873/434saleemPalabras clave:
Laparoscopic sleeve gastrectomy, BMI, weight loss, Obesity, blood profile.Resumen
Objective: This study aimed to investigate demographic trends and characteristics of Saudi patients undergoing LSG in different regions of the country.
Methods: We retrospectively collected preoperative data from 285 patients who underwent LSG between 2016 and 2021 at a tertiary care centre. Patients' demographic data including the body mass index (BMI) and blood profiles before LSG, were analysed.
Results: The mean patient age was 46 years, and the mean preoperative BMI was 36.50 kg/m2. Females comprised more than two-thirds of the patients (69%). Among the pre-operative blood parameters, haemoglobin and vitamin B1 deficiency were noticeable in both sexes.
Conclusion: This predictive analysis could assist surgeons in identifying common deficiencies and expected post-surgical micronutrient deficiencies relevant to undesirable complications.
Citas
Chooi, Y.C., C. Ding, and F. Magkos, The epidemiology of obesity. Metabolism, 2019. 92: p. 6-10.
Althumiri, N.A., et al., Obesity in Saudi Arabia in 2020: Prevalence, Distribution, and Its Current Association with Various Health Conditions. Healthcare (Basel), 2021. 9(3).
Alfadda, A.A., et al., The Saudi clinical practice guideline for the management of overweight and obesity in adults. Saudi Med J, 2016. 37(10): p. 1151-62.
Bal, B.S., et al., Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol, 2012. 8(9): p. 544-56.
Arterburn, D.E., et al., Benefits and Risks of Bariatric Surgery in Adults: A Review. JAMA, 2020. 324(9): p. 879-887.
Burguera, B., et al., Critical assessment of the current guidelines for the management and treatment of morbidly obese patients. J Endocrinol Invest, 2007. 30(10): p. 844-52.
Mechanick, J.I., 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. Obesity (Silver Spring), 2013. 21 Suppl 1: p. S1-27.
Angrisani, L., et al., Bariatric Surgery Survey 2018: Similarities and Disparities Among the 5 IFSO Chapters. Obesity Surgery, 2021. 31(5): p. 1937-1948.
Yehoshua, R.T., et al., Laparoscopic sleeve gastrectomy--volume and pressure assessment. Obes Surg, 2008. 18(9): p. 1083-8.
McCarty, T.R., P. Jirapinyo, and C.C. Thompson, Effect of Sleeve Gastrectomy on Ghrelin, GLP-1, PYY, and GIP Gut Hormones: A Systematic Review and Meta-analysis. Ann Surg, 2020. 272(1): p. 72-80.
Aron-Wisnewsky, J., et al., Nutritional and Protein Deficiencies in the Short Term following Both Gastric Bypass and Gastric Banding. PLoS One, 2016. 11(2): p. e0149588.
Astrup, A. and S. Bügel, Overfed but undernourished: recognizing nutritional inadequacies/deficiencies in patients with overweight or obesity. Int J Obes (Lond), 2019. 43(2): p. 219-232.
Chamberlain, C., et al., Recognizing postoperative nutritional complications of bariatric surgery in the primary care patient: a narrative review. J Osteopath Med, 2021. 121(1): p. 105-112.
AlAli, M.N., et al., Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review. Ann Saudi Med, 2020. 40(5): p. 389-395.
Peterli, R., et al., Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial. Jama, 2018. 319(3): p. 255-265.
English, W.J. and D.B. Williams, Metabolic and Bariatric Surgery: An Effective Treatment Option for Obesity and Cardiovascular Disease. Prog Cardiovasc Dis, 2018. 61(2): p. 253-269.
Aljaaly, E.A., Perioperative nutrition care and dietetic practices in the scope of bariatric surgery in Saudi Arabia using adapted protocols for evaluation. SAGE Open Med, 2021. 9: p. 20503121211036136.
Rives-Lange, C., et al., Seventy years of bariatric surgery: A systematic mapping review of randomized controlled trials. Obes Rev, 2022. 23(5): p. e13420.
Al-Alyani, H., et al., Vitamin D deficiency in Saudi Arabians: A reality or simply hype: A meta-analysis (2008-2015). J Family Community Med, 2018. 25(1): p. 1-4.
Walston, S., Y. Al-Harbi, and B. Al-Omar, The changing face of healthcare in Saudi Arabia. Ann Saudi Med, 2008. 28(4): p. 243-50.
Rahman, R., The Privatization of Health Care System in Saudi Arabia. Health Serv Insights, 2020. 13: p. 1178632920934497.
Rubino, F., et al., Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery. Lancet Diabetes Endocrinol, 2020. 8(7): p. 640-648.
Aly, S., K. Hachey, and L.I.M. Pernar, Gender disparities in weight loss surgery. Mini-invasive Surgery, 2020. 4: p. 21.
Ahmed, A.E., et al., The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia. Diabetes Metab Syndr Obes, 2018. 11: p. 271-276.
Aldriweesh, M.A., et al., The Incidence and Risk Factors of Cholelithiasis Development After Bariatric Surgery in Saudi Arabia: A Two-Center Retrospective Cohort Study. Front Surg, 2020. 7: p. 559064.
AlEid, A., et al., The utility of esophagogastroduodenoscopy and Helicobacter pylori screening in the preoperative assessment of patients undergoing bariatric surgery: A cross-sectional, single-center study in Saudi Arabia. Saudi J Gastroenterol, 2020. 26(1): p. 32-38.
Cooper, A.J., et al., Sex/Gender Differences in Obesity Prevalence, Comorbidities, and Treatment. Curr Obes Rep, 2021. 10(4): p. 458-466.
Kochkodan, J., D.A. Telem, and A.A. Ghaferi, Physiologic and psychological gender differences in bariatric surgery. Surg Endosc, 2018. 32(3): p. 1382-1388.
Al Watban, Z.H., et al., Patient awareness about the indications and complications of sleeve gastrectomy. J Family Med Prim Care, 2020. 9(1): p. 321-326.
Al-Kadi, A. and L. Al-Sulaim, Role of bariatric surgery on psychological and social outcomes of patients: A systematic review. Pol Przegl Chir, 2022. 95(4): p. 1-5.
Soetan, K.O., C.O. Olaiya, and O.E. Oyewole, The importance of mineral elements for humans, domestic animals and plants: A review. African Journal of Food Science, 2010. 4: p. 200-222.
Cai, X., et al., Potassium and Obesity/Metabolic Syndrome: A Systematic Review and Meta-Analysis of the Epidemiological Evidence. Nutrients, 2016. 8(4): p. 183.
Piuri, G., et al., Magnesium in Obesity, Metabolic Syndrome, and Type 2 Diabetes. Nutrients, 2021. 13(2).
de Baaij, J.H., J.G. Hoenderop, and R.J. Bindels, Magnesium in man: implications for health and disease. Physiol Rev, 2015. 95(1): p. 1-46.
Galan, P., et al., Dietary magnesium intake in a French adult population. Magnes Res, 1997. 10(4): p. 321-8.
Throop, J.L., M.E. Kerl, and L.A. Cohn, Albumin in health and disease: protein metabolism and function. Compend Contin Educ Pract Vet, 2004. 26: p. 932-939.
de Luis, D.A., et al., Micronutrient status in morbidly obese women before bariatric surgery. Surgery for Obesity and Related Diseases, 2013. 9(2): p. 323-327.
May, J.E., et al., Three neglected numbers in the CBC: The RDW, MPV, and NRBC count. Cleve Clin J Med, 2019. 86(3): p. 167-172.
Ausk, K.J. and G.N. Ioannou, Is obesity associated with anemia of chronic disease? A population-based study. Obesity (Silver Spring), 2008. 16(10): p. 2356-61.
Akter, R., et al., Effect of Obesity on Hemoglobin Concentration. Mymensingh medical journal : MMJ, 2017. 26(2): p. 230-234.
Aigner, E., A. Feldman, and C. Datz, Obesity as an emerging risk factor for iron deficiency. Nutrients, 2014. 6(9): p. 3587-600.
Sánchez, A., et al., Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery. Obes Surg, 2016. 26(2): p. 361-8.
Muñoz, M., et al., Iron deficiency and anaemia in bariatric surgical patients: causes, diagnosis and proper management. Nutr Hosp, 2009. 24(6): p. 640-54.
Al-Mulhim, A.S., Laparoscopic Sleeve Gastrectomy and Nutrient Deficiencies: A Prospective Study. Surg Laparosc Endosc Percutan Tech, 2016. 26(3): p. 208-11.
Krzizek, E.-C., et al., Prevalence of Micronutrient Deficiency in Patients with Morbid Obesity Before Bariatric Surgery. Obesity Surgery, 2018. 28(3): p. 643-648.
van Rutte, P.W., et al., Nutrient deficiencies before and after sleeve gastrectomy. Obes Surg, 2014. 24(10): p. 1639-46.
Vranić, L., I. Mikolašević, and S. Milić, Vitamin D Deficiency: Consequence or Cause of Obesity? Medicina, 2019. 55(9): p. 541.
Bâ, A., Metabolic and Structural Role of Thiamine in Nervous Tissues. Cellular and Molecular Neurobiology, 2008. 28(7): p. 923-931.
Carrodeguas, L., et al., Preoperative thiamine deficiency in obese population undergoing laparoscopic bariatric surgery. Surg Obes Relat Dis, 2005. 1(6): p. 517-22; discussion 522.
Dagan, S.S., et al., Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery. Obesity Surgery, 2016. 26(9): p. 2119-2126.
Elmadfa, I., et al., The thiamine status of adult humans depends on carbohydrate intake. Int J Vitam Nutr Res, 2001. 71(4): p. 217-21.
Whitfield, K.C., et al., Thiamine deficiency disorders: diagnosis, prevalence, and a roadmap for global control programs. Annals of the New York Academy of Sciences, 2018. 1430(1): p. 3-43.
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