Pre and Early Post-Operative Iron Assessment in Obese Patients Underwent Laparoscopic Sleeve Gasterctomy

Salih M. S. Zebari; Nashwan Q. Mahgoob; Maryam N. Qahtan; Noorhan M. Jassim; Hafsa O. Adil; Amenah Q. Hashim

doi:10.24086/cuesj.v6n2y2022.pp153-160

Salih M. S. Zebari Department of Nutrition and Dietetics, Cihan University-Erbil, Kurdistan Region, Iraq https://orcid.org/0000-0003-3289-0776
Nashwan Q. Mahgoob Advance Laparoscopy and Obesity Center, Soran Private Hospital, Erbil, Kurdistan Region, Iraq http://orcid.org/0000-0002-2206-4799
Maryam N. Qahtan Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq
Noorhan M. Jassim Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq
Hafsa O. Adil Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq
Amenah Q. Hashim Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq

DOI: https://doi.org/10.24086/cuesj.v6n2y2022.pp153-160

Keywords: Severe obesity, sleeve gastrectomy, iron deficiency, regime follow-up, weight reduction

Abstract

Obesity is a chronic disease associated with mortality and morbidity. Bariatric surgery (BS) as a long-term weight reduction treatment has been increased. This study investigated the early state of iron storage and deficiency in patients underwent laparoscopic sleeve gastrectomy (LSG). Thirty patients were selected as a prospective study underwent LSG according to specialized inclusion and exclusion criteria at Soran Private Hospital in Erbil, from 1/1/2021 to 1/9/2021 after signing a consent form. All selected patients underwent preoperative and three months’ post-operative hemoglobin (Hb), mean corpuscular volume (MCV), and serum ferritin (SF) assessments. They were instructed to follow specialized diet regimen for three months’ post-operative and not to take any drugs and supplements. Results showed a strong positive correlation between preoperative and postoperative assessment for both Hb and MCV respectively (r= 0.72; P < 0.001), (r= 0.76; P < 0.001), and a moderate correlation for SF (r= 0.41; P < 0.024). Significant difference (P < 0.05) was found between preoperative and postoperative for the three markers (Hb, MCV and SF). Their values were decreased from preoperative to postoperative for the majority of the cases, but they were still within the normal range. The finding demonstrated that after three months from LSG, no patients showed iron deficiency anaemia. However, there was decrease in SF level which indicated that the storage capacity of iron was decreasing. This suggest that the iron supplement has to be started since the food regime followed in by the patients was not sufficient to maintain normal iron level.

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Author Biographies

Salih M. S. Zebari, Department of Nutrition and Dietetics, Cihan University-Erbil, Kurdistan Region, Iraq

Salih Mustafa Salih Zebari is a Lecturer at the Department of Nutrition and Dietetics, College of Health Technology, Cihan University- Erbil. He got the B. Sc. degree in Animal Resources at Salahaddin University in 2005, PG Diploma in Food Production Management at University of Nottingham UK in 2009, M.Sc. degree in Food Safety and Quality Management at Greenwich University, London, UK in 2010, and the Ph.D. degree in Food Quality Control at University of Plymouth, UK in 2017. His research interests are Assessment of Human Nutrition and Public Health, Food Authenticity & Fraud Detection Approaches, Food Security and Quality Control, Analyzing Food Hazards & Metal Detection, Assessing Consumers' Perception & Trust, Product Development & Sensory Analysis.

Nashwan Q. Mahgoob, Advance Laparoscopy and Obesity Center, Soran Private Hospital, Erbil, Kurdistan Region, Iraq

Nashwan Qahtan Mahgoob is a professor, Consultant general and laparoscopic Surgeon. He is the Head of advance laparoscopy and obesity center/ Soran private hospital/Iraq/Erbil. also Vice president of ACS/Iraq chapter, Firmly Medical College, University of Mosul. Iraq. Professor Nashwan is a Member of the editorial board of the College of Nursing journal and Basrah journal of surgery.

Maryam N. Qahtan, Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq

Maryam N. Qahtan is undergrauate student at the Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq.

Noorhan M. Jassim, Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq

Noorhan M. Jassim is an undergrauate student at Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq.

Hafsa O. Adil, Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq

Hafsa O. Adil is an undergraduate student at Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq.

Amenah Q. Hashim, Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq

Amenah Q. Hashim is un undergraduate student at Department of Nutrition and Dietetics, Cihan University- Erbil, Kurdistan Region, Iraq.

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