SECONDARY HYPERPARATHYROIDISM AFTER BARIATRIC SURGERY: TREATMENT IS WITH CALCIUM CARBONATE OR CALCIUM CITRATE?

被引:11
作者
Baretta, Giorgio Alfredo Pedroso [1 ]
Cambi, Maria Paula Carlini [1 ]
Rodrigues, Arieli Luz [1 ]
Mendes, Silvana Aparecida [1 ]
机构
[1] Hosp Vita Batel, Curitiba, PR, Brazil
来源
ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY | 2015年 / 28卷
关键词
Secondary hyperparathyroidism; Bariatric surgery; Nutritional deficiencies;
D O I
10.1590/S0102-6720201500S100013
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Bariatric surgery, especially Roux-en-Y gastric bypass, can cause serious nutritional complications arising from poor absorption of essential nutrients. Secondary hyperparathyroidism is one such complications that leads to increased parathyroid hormone levels due to a decrease in calcium and vitamin D, which may compromise bone health. Aim: To compare calcium carbonate and calcium citrate in the treatment of secondary hyperparathyroidism. Method: Patients were selected on the basis of their abnormal biochemical test and treatment was randomly done with citrate or calcium carbonate. Results: After 60 days of supplementation, biochemical tests were repeated, showing improvement in both groups. Conclusion: Supplementation with calcium (citrate or carbonate) and vitamin D is recommended after surgery for prevention of secondary hyperparathyroidism.
引用
收藏
页码:43 / 45
页数:3
相关论文
共 17 条
[1]   Nutritional deficiencies following bariatric surgery: What have we learned? [J].
Bloomberg, RD ;
Fleishman, A ;
Nalle, JE ;
Herron, DM ;
Kini, S .
OBESITY SURGERY, 2005, 15 (02) :145-154
[2]   Bariatric surgery: A systematic review and meta-analysis [J].
Buchwald, H ;
Avidor, Y ;
Braunwald, E ;
Jensen, MD ;
Pories, W ;
Fahrbach, K ;
Schoelles, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (14) :1724-1737
[3]   Markers of bone and calcium metabolism following gastric bypass and laparoscopic adjustable gastric banding [J].
DiGiorgi, Mary ;
Daud, Amna ;
Inabnet, William B. ;
Schrope, Beth ;
Urban-Skuro, Meredith ;
Restuccia, Nancy ;
Bessler, Marc .
OBESITY SURGERY, 2008, 18 (09) :1144-1148
[4]   Calcium metabolism in pre- and postmenopausal morbidly obese women at baseline and after laparoscopic Roux-en-Y gastric bypass [J].
El-Kadre, LJ ;
Savassi-Rocha, PR ;
Tinoco, ACDA ;
Tinoco, RC .
OBESITY SURGERY, 2004, 14 (08) :1062-1066
[5]   The decline in hip bone density after gastric bypass surgery is associated with extent of weight loss [J].
Fleischer, J. ;
Stein, E. M. ;
Bessler, M. ;
Della Badia, M. ;
Restuccia, N. ;
Olivero-Rivera, L. ;
McMahon, D. J. ;
Silverberg, S. J. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2008, 93 (10) :3735-3740
[6]   Bariatric surgery and bone disease: from clinical perspective to molecular insights [J].
Folli, F. ;
Sabowitz, B. N. ;
Schwesinger, W. ;
Fanti, P. ;
Guardado-Mendoza, R. ;
Muscogiuri, G. .
INTERNATIONAL JOURNAL OF OBESITY, 2012, 36 (11) :1373-1379
[7]  
HARVEY JA, 1988, J BONE MINER RES, V3, P253
[8]  
HARVEY JA, 1990, J AM COLL NUTR, V9, P583
[9]   The Impact of Morbid Obesity and Bariatric Surgery on Comorbid Conditions: A Comprehensive Examination of Comorbidities in an Employed Population [J].
Kleinman, Nathan L. ;
Melkonian, Arthur ;
Borden, Spencer ;
Rohrbacker, Nicholas ;
Lynch, Wendy D. ;
Gardner, Harold H. .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2009, 51 (02) :170-179
[10]  
Krause M., 2014, OSTEOPOROS INT