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Investigating Nutritional Deficiencies in a Group of Patients 3 Years Post Laparoscopic Sleeve Gastrectomy

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Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) as a single-stage procedure has shown to be effective in achieving significant weight loss and resolving obesity-related co-morbidities. However, its nutrition consequences have not been extensively explored. This study aims to investigate weight loss and evolution of nutritional deficiencies in a group of patients 3 years post LSG.

Methods

Retrospective data of a group of patients, 3 years following LSG as a stand-alone procedure was collected. Data included anthropometry, nutritional markers (hemoglobin, iron studies, folate, calcium, iPTH, vitamins D, and B12), and compliancy with supplementations.

Results

Ninety-one patients (male/female; 28:63), aged 51.9 ± 11.4 years with a BMI of 42.8 ± 6.1 kg/m2 were identified to be 3 years post LSG. Percentage of weight loss at 1 and 3 years post-operatively was 29.8 ± 7.0 and 25.9 ± 8.8 %, respectively. Pre-operatively, the abnormalities included low hemoglobin (4 %), ferritin (6 %), vitamin B12 (1 %), vitamin D (46 %), and elevated iPTH (25 %). At 3 years post-operatively, the abnormal laboratory values included low hemoglobin (14 % females, P = 0.021), ferritin (24 %, P = 0.011), vitamin D (20 %, P = 0.018), and elevated iPTH (17 %, P = 0.010). Compliancy with multivitamin supplementation was noted in 66 % of patients.

Conclusion

In these patients, LSG resulted in pronounced weight loss at 1 year post-operatively, and most of this was maintained at 3 years. Nutritional deficiencies are prevalent among patients prior to bariatric surgery. These deficiencies may persist or exacerbate post-operatively. Routine nutrition monitoring and supplementations are essential to prevent and treat these deficiencies.

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Authors and Affiliations

  1. The St George Private Hospital, 1 South St, Kogarah, NSW, 2217, Australia

    Nazy Zarshenas, Maria Nacher, Ken W. Loi & John O. Jorgensen

Authors
  1. Nazy Zarshenas
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  2. Maria Nacher
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Correspondence to Nazy Zarshenas.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

Due to the retrospective nature of our study, formal consent is not required. The study was approved by the University of Wollongong/Illawarra Shoalhaven Local Health District Human Research Ethics Committee.

Informed Consent

Informed consent does not apply in the study. The data collected was retrospective and de-identified, and hence, the informed consent was waived.

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Zarshenas, N., Nacher, M., Loi, K.W. et al. Investigating Nutritional Deficiencies in a Group of Patients 3 Years Post Laparoscopic Sleeve Gastrectomy. OBES SURG 26, 2936–2943 (2016). https://doi.org/10.1007/s11695-016-2211-3

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  • DOI: https://doi.org/10.1007/s11695-016-2211-3

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