Calcium and Vitamin D Supplementation after Gastric Bypass Should Be Individualized to Improve or Avoid Hyperparathyroidism

Background Precise calcium (Ca) and vitamin D intestinal absorption after gastric bypass (GB) remains unknown. We evaluated the effect of receiving or not Ca and vitamin D supplementation on Ca, PTH, and vitamin D axis in patients undergoing GB. Methods Two hundred twenty-two patients were evaluated...

Full description

Saved in:
Bibliographic Details
Published in:Obesity surgery 2010-06, Vol.20 (6), p.738-743
Main Authors: Flores, Lilliam, Martínez Osaba, M. Jesús, Andreu, Alba, Moizé, Violeta, Rodríguez, Lucía, Vidal, Josep
Format: Article
Language:English
Subjects:
Adult
Antacids - therapeutic use
Calcium
Calcium - blood
Calcium - therapeutic use
Calcium Carbonate - therapeutic use
Clinical Chemistry Tests
Clinical Research
Dietary Supplements
Endocrine system
Female
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Hyperparathyroidism - blood
Hyperparathyroidism - etiology
Hyperparathyroidism - prevention & control
Male
Medicine
Medicine & Public Health
Obesity
Prospective Studies
Reference Values
Surgery
Treatment Outcome
Vitamin D
Vitamin D - blood
Vitamin D - therapeutic use
Vitamin D Deficiency - prevention & control
Vitamins - blood
Vitamins - therapeutic use
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Precise calcium (Ca) and vitamin D intestinal absorption after gastric bypass (GB) remains unknown. We evaluated the effect of receiving or not Ca and vitamin D supplementation on Ca, PTH, and vitamin D axis in patients undergoing GB. Methods Two hundred twenty-two patients were evaluated prior to GB and at 1 year. Baseline characteristics were registered, and bone metabolism markers were determined before surgery and at 12 months. After surgery, oral calcium carbonate (1,200 mg/daily) and vitamin D3 (800 IU) were prescribed with PTH >70 pg/ml. Results In the whole group, before surgery and at 1 year, 36 and 30% had hyperparathyroidism (HPT), respectively. Baseline vitamin D deficiency (
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-010-0138-7