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.
Referencias
Chooi, Y.C., C. Ding, and F. Magkos, The epidemiology of obesity. Metabolism, 2019. 92: p. 6-10. DOI: https://doi.org/10.1016/j.metabol.2018.09.005
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). DOI: https://doi.org/10.3390/healthcare9030311
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. DOI: https://doi.org/10.15537/smj.2016.10.14353
Bal, B.S., et al., Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol, 2012. 8(9): p. 544-56. DOI: https://doi.org/10.1038/nrendo.2012.48
Arterburn, D.E., et al., Benefits and Risks of Bariatric Surgery in Adults: A Review. JAMA, 2020. 324(9): p. 879-887. DOI: https://doi.org/10.1001/jama.2020.12567
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. DOI: https://doi.org/10.1007/BF03349226
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. DOI: https://doi.org/10.1002/oby.20461
Angrisani, L., et al., Bariatric Surgery Survey 2018: Similarities and Disparities Among the 5 IFSO Chapters. Obesity Surgery, 2021. 31(5): p. 1937-1948. DOI: https://doi.org/10.1007/s11695-020-05207-7
Yehoshua, R.T., et al., Laparoscopic sleeve gastrectomy--volume and pressure assessment. Obes Surg, 2008. 18(9): p. 1083-8. DOI: https://doi.org/10.1007/s11695-008-9576-x
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. DOI: https://doi.org/10.1097/SLA.0000000000003614
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. DOI: https://doi.org/10.1371/journal.pone.0149588
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. DOI: https://doi.org/10.1038/s41366-018-0143-9
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. DOI: https://doi.org/10.7556/jaoa.2020.135
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. DOI: https://doi.org/10.5144/0256-4947.2020.389
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. DOI: https://doi.org/10.1001/jama.2017.20897
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. DOI: https://doi.org/10.1016/j.pcad.2018.06.003
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. DOI: https://doi.org/10.1177/20503121211036136
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. DOI: https://doi.org/10.1111/obr.13420
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. DOI: https://doi.org/10.4103/jfcm.JFCM_73_17
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. DOI: https://doi.org/10.5144/0256-4947.2008.243
Rahman, R., The Privatization of Health Care System in Saudi Arabia. Health Serv Insights, 2020. 13: p. 1178632920934497. DOI: https://doi.org/10.1177/1178632920934497
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. DOI: https://doi.org/10.1016/S2213-8587(20)30157-1
Aly, S., K. Hachey, and L.I.M. Pernar, Gender disparities in weight loss surgery. Mini-invasive Surgery, 2020. 4: p. 21. DOI: https://doi.org/10.20517/2574-1225.2019.57
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. DOI: https://doi.org/10.2147/DMSO.S161540
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. DOI: https://doi.org/10.3389/fsurg.2020.559064
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. DOI: https://doi.org/10.4103/sjg.SJG_165_19
Cooper, A.J., et al., Sex/Gender Differences in Obesity Prevalence, Comorbidities, and Treatment. Curr Obes Rep, 2021. 10(4): p. 458-466. DOI: https://doi.org/10.1007/s13679-021-00453-x
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. DOI: https://doi.org/10.1007/s00464-017-5819-z
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. DOI: https://doi.org/10.4103/jfmpc.jfmpc_806_19
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. DOI: https://doi.org/10.3390/nu8040183
Piuri, G., et al., Magnesium in Obesity, Metabolic Syndrome, and Type 2 Diabetes. Nutrients, 2021. 13(2). DOI: https://doi.org/10.3390/nu13020320
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. DOI: https://doi.org/10.1152/physrev.00012.2014
Galan, P., et al., Dietary magnesium intake in a French adult population. Magnes Res, 1997. 10(4): p. 321-8. DOI: https://doi.org/10.1007/978-94-009-0057-8_36
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. DOI: https://doi.org/10.1016/j.soard.2011.09.015
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. DOI: https://doi.org/10.3949/ccjm.86a.18072
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. DOI: https://doi.org/10.1038/oby.2008.353
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. DOI: https://doi.org/10.3390/nu6093587
Sánchez, A., et al., Micronutrient Deficiencies in Morbidly Obese Women Prior to Bariatric Surgery. Obes Surg, 2016. 26(2): p. 361-8. DOI: https://doi.org/10.1007/s11695-015-1773-9
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. DOI: https://doi.org/10.1097/SLE.0000000000000270
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. DOI: https://doi.org/10.1007/s11695-017-2902-4
van Rutte, P.W., et al., Nutrient deficiencies before and after sleeve gastrectomy. Obes Surg, 2014. 24(10): p. 1639-46. DOI: https://doi.org/10.1007/s11695-014-1225-y
Vranić, L., I. Mikolašević, and S. Milić, Vitamin D Deficiency: Consequence or Cause of Obesity? Medicina, 2019. 55(9): p. 541. DOI: https://doi.org/10.3390/medicina55090541
Bâ, A., Metabolic and Structural Role of Thiamine in Nervous Tissues. Cellular and Molecular Neurobiology, 2008. 28(7): p. 923-931. DOI: https://doi.org/10.1007/s10571-008-9297-7
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. DOI: https://doi.org/10.1016/j.soard.2005.08.003
Dagan, S.S., et al., Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery. Obesity Surgery, 2016. 26(9): p. 2119-2126. DOI: https://doi.org/10.1007/s11695-016-2064-9
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. DOI: https://doi.org/10.1024/0300-9831.71.4.217
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. DOI: https://doi.org/10.1111/nyas.13919
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