Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity

Background. Anemia associated with deficiencies in iron, folic acid, and vitamin B12 are very common after Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) surgery for morbid obesity. This study was conducted to evaluate the prevalence of anemia after LRYGB. Patients and Methods. A total of 377 morbid...

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Main Authors: E. O. Aarts, B. van Wageningen, I. M. C. Janssen, F. J. Berends
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2012/193705
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author E. O. Aarts
B. van Wageningen
I. M. C. Janssen
F. J. Berends
author_facet E. O. Aarts
B. van Wageningen
I. M. C. Janssen
F. J. Berends
author_sort E. O. Aarts
collection DOAJ
description Background. Anemia associated with deficiencies in iron, folic acid, and vitamin B12 are very common after Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) surgery for morbid obesity. This study was conducted to evaluate the prevalence of anemia after LRYGB. Patients and Methods. A total of 377 morbid obese patients were included in our study. All patients underwent a LRYGB. Hematologic parameters were obtained prior to and after surgery on standardized time intervals. Results. Anemia was present in 21 (P=0.02) patients after surgery. Iron, folic acid, and vitamin B12 deficiencies were diagnosed in 66%, 15%, and 50% of patients, respectively. In 86% of patients, anemia was accompanied by one of these deficiencies. Conclusion. These results show that anemia and deficiencies for iron, folic acid deficiency, and vitamin B12 are very common within the first year after LRYGB. We advise a minimal daily intake of 65 mg of iron in male and 100 mg in female patients, 350 μg of vitamin B12, and 400 μg of folic acid. Patients undergoing LRYGB must be closely monitored for deficiencies pre- and postoperative and supplemented when deficiencies occur.
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spelling doaj-art-c74c52c6a9154ea1a2dd3f91d600863b2025-08-20T03:22:58ZengWileyJournal of Obesity2090-07082090-07162012-01-01201210.1155/2012/193705193705Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid ObesityE. O. Aarts0B. van Wageningen1I. M. C. Janssen2F. J. Berends3Department of Surgery, Rijnstate Hospital, Postal number 1190, P.O. Box 9555, 6800 TA Arnhem, The NetherlandsDepartment of Surgery, Rijnstate Hospital, Postal number 1190, P.O. Box 9555, 6800 TA Arnhem, The NetherlandsDepartment of Surgery, Rijnstate Hospital, Postal number 1190, P.O. Box 9555, 6800 TA Arnhem, The NetherlandsDepartment of Surgery, Rijnstate Hospital, Postal number 1190, P.O. Box 9555, 6800 TA Arnhem, The NetherlandsBackground. Anemia associated with deficiencies in iron, folic acid, and vitamin B12 are very common after Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) surgery for morbid obesity. This study was conducted to evaluate the prevalence of anemia after LRYGB. Patients and Methods. A total of 377 morbid obese patients were included in our study. All patients underwent a LRYGB. Hematologic parameters were obtained prior to and after surgery on standardized time intervals. Results. Anemia was present in 21 (P=0.02) patients after surgery. Iron, folic acid, and vitamin B12 deficiencies were diagnosed in 66%, 15%, and 50% of patients, respectively. In 86% of patients, anemia was accompanied by one of these deficiencies. Conclusion. These results show that anemia and deficiencies for iron, folic acid deficiency, and vitamin B12 are very common within the first year after LRYGB. We advise a minimal daily intake of 65 mg of iron in male and 100 mg in female patients, 350 μg of vitamin B12, and 400 μg of folic acid. Patients undergoing LRYGB must be closely monitored for deficiencies pre- and postoperative and supplemented when deficiencies occur.http://dx.doi.org/10.1155/2012/193705
spellingShingle E. O. Aarts
B. van Wageningen
I. M. C. Janssen
F. J. Berends
Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity
Journal of Obesity
title Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity
title_full Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity
title_fullStr Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity
title_full_unstemmed Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity
title_short Prevalence of Anemia and Related Deficiencies in the First Year following Laparoscopic Gastric Bypass for Morbid Obesity
title_sort prevalence of anemia and related deficiencies in the first year following laparoscopic gastric bypass for morbid obesity
url http://dx.doi.org/10.1155/2012/193705
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AT imcjanssen prevalenceofanemiaandrelateddeficienciesinthefirstyearfollowinglaparoscopicgastricbypassformorbidobesity
AT fjberends prevalenceofanemiaandrelateddeficienciesinthefirstyearfollowinglaparoscopicgastricbypassformorbidobesity