The effect of laparscopic sleeve gasterectomy on vitamin D, Calcium and Fat metabolism | ||||
| Al-Azhar International Medical Journal | ||||
| Article 15, Volume 1, Issue 3, March 2020, Page 319-325 PDF (659.02 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2020.22734.1094 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Ahmed Mahmoud Nabil 
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| General surgery department faculty of medicine Elazhar university cairo Egypt | ||||
| Abstract | ||||
| Abstract Background: Obesity, defined as a body mass index >30 kg/m2, is a growing worldwide epidemic currently effecting 1 in 10 adults, with rates as high as 40% in the United States. Aim of the work: To study the effect of sleeve gastrectomy on vitamin(D), Calcium, Cholesterol and Triglyceride homeostasis with early detection of abnormalities and their proper management. Patients and Methods: This prospective case series study was carried out on 40 morbidly obese patients at the surgical departments in Kasr Al-ainy and Sayed Galal Hospitals. These patients underwent sleeve gastrectomy operation by the standard technique and preoperative (immediately before surgery) & postoperative (3 & 6 months) assessment of vitamin & micronutrient deficiencies was done. Results: The prevalence of preoperative vitamin and micronutrient deficiency in our study was as follows: 24 (12 deficiency and 12 insufficiency) of the 40 patients (60%) had vitamin D deficiency, 18 of the 40 patients (45%) had hypocalcemia. The prevalence of vitamin and micronutrient derangements at 3 months was as follows: 30 (8 deficiency and 22 insufficiency) of the 40 patients (75%) had vitamin D deficiency, 23 of the 40 patients (57.5%) had hypocalcemia. The prevalence of vitamin and micronutrient derangements at 6 months was as follows: 34 (18 deficiency and 16 insufficiency) of the 40 patients (85%) had vitamin D deficiency, 31 of the 40 patients (77.5%) had hypocalcemia. Conclusion: our study shows that LSG is very good bariatric procedure with excellent results on short term follow up regarding body weight reduction, BMI. | ||||
| Keywords | ||||
| Sleeve gastterectomy; VitD; Ca; Fat; Metabolism | ||||
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