COBALAMIN ABSORPTION AND HEMATOLOGIC STATUS AFTER 2 TYPES OF GASTRIC-SURGERY FOR OBESITY

被引:25
作者
YALE, CE
GOHDES, PN
SCHILLING, RF
机构
[1] UNIV WISCONSIN,DEPT MED,1300 UNIV AVE,MADISON,WI 53706
[2] UNIV WISCONSIN,DEPT SURG,MADISON,WI 53706
[3] THEDA CLARK HOSP,DEPT PATHOL,NEENAH,WI
关键词
COBALAMIN ABSORPTION; MORBID OBESITY; VITAMIN-B(12) DEFICIENCY; MICROCYTOSIS;
D O I
10.1002/ajh.2830420113
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A series of morbidly obese patients was treated surgically with a gastric bypass, and a subsequent series received a vertical banded gastroplasty. To compare some of the nutritional effects of these two procedures we measured serum vitamin B-12 levels, absorption of food vitamin B-12, frequency of microcytosis of erythrocytes, and frequency of anemia at one or more years after surgery. Patients with a gastric bypass showed greater weight loss, a greater frequency of microcytosis and anemia, more frequent subnormal serum levels of vitamin B-12, and impressive failure to absorb food vitamin B-12. Boiling the food containing vitamin B-12 led to increasd absorption.
引用
收藏
页码:63 / 66
页数:4
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