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Vitamin B 12 deficiency is quite common after gastric bypass surgery with reported rates of 30% in some clinical trials. [ journal 13 ] Sublingual B 12 ( cyanocobalamin ) appears to be adequately absorbed.
Notably, chronic vitamin D deficiency may contribute to osteoporosis; insufficiency fractures, especially of the upper extremity, are of higher incidence in bariatric surgery patients. [27] [35] Sleeve gastrectomy leads to fewer long-term vitamin deficiencies compared to gastric banding.
Various methods of gastric bypass or gastric restriction surgery are used to treat morbid obesity. Roux-en-Y gastric bypass surgery (RYGB) but not sleeve gastric bypass surgery or gastric banding, increases the risk of vitamin B 12 deficiency and requires preventive post-operative treatment with either injected or high-dose oral supplementation.
The weight loss success rate after Roux-en-Y gastric bypass revision surgery is generally excellent. [9] There are some associated risks of vitamin deficiency and stomach ulcer formation requiring prevention with multivitamins and proton pump inhibitors. [10]
The most common cause of copper deficiency is a remote gastrointestinal surgery, such as gastric bypass surgery, due to malabsorption of copper, or zinc toxicity. On the other hand, Menkes disease is a genetic disorder of copper deficiency involving a wide variety of symptoms that is often fatal. [4]
Afferent loop syndrome is an uncommon side effect of gastric surgery. [1] ... bypass, or limb ... Iron deficiency anemia and/or vitamin B12 deficiency can arise from ...
Copper deficiency can manifest in parallel with vitamin B12 and other nutritional deficiencies. [9] The most common cause of copper deficiency is a remote gastrointestinal surgery, such as gastric bypass surgery, due to malabsorption of copper, or zinc toxicity. Fluorine deficiency: Increased dental caries and possibly osteoporosis
Pernicious anemia is a disease where not enough red blood cells are produced due to a deficiency of vitamin B 12. [5] Those affected often have a gradual onset. [5] The most common initial symptoms are feeling tired and weak. [4]
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