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International Journal of Endocrinology
Volume 2015 (2015), Article ID 984935, 7 pages
http://dx.doi.org/10.1155/2015/984935
Clinical Study

Determinants of Secondary Hyperparathyroidism in Bariatric Patients after Roux-en-Y Gastric Bypass or Sleeve Gastrectomy: A Pilot Study

11st Department of Surgery, Laiko Athens General Hospital, University of Athens, 17 Agiou Thoma Street, 11527 Athens, Greece
22nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, 76 Vas. Sofias Avenue, 11528 Athens, Greece
3Hormonal Laboratory, Aretaieio Hospital, University of Athens, 76 Vas. Sofias Avenue, 11528 Athens, Greece

Received 15 December 2014; Revised 11 March 2015; Accepted 28 March 2015

Academic Editor: Małgorzata Kotula-Balak

Copyright © 2015 Andreas Alexandrou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. I. Mechanick, A. Youdim, D. B. Jones et al., “Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery,” Obesity, vol. 21, no. S1, pp. S1–S27, 2013. View at Publisher · View at Google Scholar
  2. J. M. Gonzalez-Campoy, B. Richardson, C. Richardson et al., “Bariatric endocrinology: principles of medical practice,” International Journal of Endocrinology, vol. 2014, Article ID 917813, 12 pages, 2014. View at Publisher · View at Google Scholar · View at Scopus
  3. L. Chhabra, B. Liti, G. Kuraganti, S. Kaul, and N. Trivedi, “Challenges in the management of type 2 diabetes mellitus and cardiovascular risk factors in obese subjects: what is the evidence and what are the myths?” International Journal of Endocrinology, vol. 2013, Article ID 856793, 10 pages, 2013. View at Publisher · View at Google Scholar · View at Scopus
  4. B. Albeladi, C. Bourbao-Tournois, and N. Huten, “Short- and midterm results between laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy for the treatment of morbid obesity,” Journal of Obesity, vol. 2013, Article ID 934653, 6 pages, 2013. View at Publisher · View at Google Scholar · View at Scopus
  5. T. Diamantis, A. Alexandrou, E. Pikoulis et al., “Laparoscopic sleeve gastrectomy for morbid obesity with intra-operative endoscopic guidance. immediate peri-operative and 1-year results after 25 patients,” Obesity Surgery, vol. 20, no. 8, pp. 1164–1170, 2010. View at Publisher · View at Google Scholar · View at Scopus
  6. N. Gletsu-Miller and B. N. Wright, “Mineral malnutrition following bariatric surgery,” Advances in Nutrition, vol. 4, no. 5, pp. 506–517, 2013. View at Publisher · View at Google Scholar · View at Scopus
  7. A. Alexandrou, E. Armeni, E. Kouskouni, E. Tsoka, T. Diamantis, and I. Lambrinoudaki, “Cross-sectional long-term micronutrient deficiencies after sleeve gastrectomy versus Roux-en-Y gastric bypass: a pilot study,” Surgery for Obesity and Related Diseases, vol. 10, no. 2, pp. 262–268, 2014. View at Publisher · View at Google Scholar · View at Scopus
  8. J. Keller and T. Schinke, “The role of the gastrointestinal tract in calcium homeostasis and bone remodeling,” Osteoporosis International, vol. 24, no. 11, pp. 2737–2748, 2013. View at Publisher · View at Google Scholar · View at Scopus
  9. M. Dewey and R. Heuberger, “Vitamin D and calcium status and appropriate recommendations in bariatric surgery patients,” Gastroenterology Nursing, vol. 34, no. 5, pp. 367–374, 2011. View at Publisher · View at Google Scholar · View at Scopus
  10. L. R. Goode, R. E. Brolin, H. A. Chowdhury, and S. A. Shapses, “Bone and gastric bypass surgery: effects of dietary calcium and vitamin D,” Obesity Research, vol. 12, no. 1, pp. 40–47, 2004. View at Publisher · View at Google Scholar · View at Scopus
  11. Metropolitan Life Foundation, “1983 metropolitan height and weight tables,” Statistical Bulletin, vol. 64, no. 1, pp. 3–9, 1983. View at Google Scholar
  12. W. D. Fraser, “Hyperparathyroidism,” The Lancet, vol. 374, no. 9684, pp. 145–158, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. T. D. Thacher and B. L. Clarke, “Vitamin D insufficiency,” Mayo Clinic Proceedings, vol. 86, no. 1, pp. 50–60, 2011. View at Publisher · View at Google Scholar · View at Scopus
  14. B. de Benoist, “Conclusions of a WHO Technical Consultation on folate and vitamin B12 deficiencies,” Food and Nutrition Bulletin, vol. 29, no. 2, supplement, pp. S238–S244, 2008. View at Google Scholar · View at Scopus
  15. J. Stein, C. Stier, H. Raab, and R. Weiner, “Review article: the nutritional and pharmacological consequences of obesity surgery,” Alimentary Pharmacology & Therapeutics, vol. 40, no. 6, pp. 582–609, 2014. View at Publisher · View at Google Scholar
  16. S. Vanlint, “Vitamin D and obesity,” Nutrients, vol. 5, no. 3, pp. 949–956, 2013. View at Publisher · View at Google Scholar · View at Scopus
  17. R. H. Clements, K. Yellumahanthi, M. Wesley, N. Ballem, and K. I. Bland, “Hyperparathyroidism and vitamin D deficiency after laparoscopic gastric bypass,” The American Surgeon, vol. 74, no. 6, pp. 469–475, 2008. View at Google Scholar · View at Scopus
  18. E. Grethen, R. McClintock, C. E. Gupta et al., “Vitamin D and hyperparathyroidism in obesity,” The Journal of Clinical Endocrinology and Metabolism, vol. 96, no. 5, pp. 1320–1326, 2011. View at Publisher · View at Google Scholar · View at Scopus
  19. C. Karefylakis, I. Naslund, D. Edholm, M. Sundbom, F. A. Karlsson, and E. Rask, “Vitamin d status 10 years after primary gastric bypass: gravely high prevalence of hypovitaminosis D and raised PTH levels,” Obesity Surgery, vol. 24, no. 3, pp. 343–348, 2014. View at Publisher · View at Google Scholar · View at Scopus
  20. P. Toelle, R. Peterli, I. Zobel, C. Noppen, C. Christoffel-Courtin, and T. Peters, “Risk factors for secondary hyperparathyroidism after bariatric surgery: a comparison of 4 different operations and of vitamin D-receptor-polymorphism,” Experimental and Clinical Endocrinology & Diabetes, vol. 120, no. 10, pp. 629–634, 2012. View at Publisher · View at Google Scholar · View at Scopus
  21. J. Ruiz-Tovar, I. Oller, A. Tomas et al., “Mid-term effects of sleeve gastrectomy on calcium metabolism parameters, vitamin D and parathormone (PTH) in morbid obese women,” Obesity Surgery, vol. 22, no. 5, pp. 797–801, 2012. View at Publisher · View at Google Scholar · View at Scopus
  22. E. Lin, D. Armstrong-Moore, Z. Liang et al., “Contribution of adipose tissue to plasma 25-hydroxyvitamin D concentrations during weight loss following gastric bypass surgery,” Obesity, vol. 19, no. 3, pp. 588–594, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. V. Moizé, A. Andreu, L. Flores et al., “Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or roux-en-y gastric bypass in a mediterranean population,” Journal of the Academy of Nutrition and Dietetics, vol. 113, no. 3, pp. 400–410, 2013. View at Publisher · View at Google Scholar · View at Scopus
  24. I. Kehagias, S. N. Karamanakos, M. Argentou, and F. Kalfarentzos, “Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI < 50 kg/m2,” Obesity Surgery, vol. 21, no. 11, pp. 1650–1656, 2011. View at Publisher · View at Google Scholar · View at Scopus
  25. S. Gehrer, B. Kern, T. Peters, C. Christofiel-Courtin, and R. Peterli, “Fewer nutrient Deficiencies after laparoscopic sleeve gastrectomy (LSG) than after Laparoscopic Roux-Y-gastric bypass (LRYGB)-a prospective study,” Obesity Surgery, vol. 20, no. 4, pp. 447–453, 2010. View at Publisher · View at Google Scholar · View at Scopus
  26. M. Vix, K. H. Liu, M. Diana, A. D’Urso, D. Mutter, and J. Marescaux, “Impact of Roux-en-Y gastric bypass versus sleeve gastrectomy on vitamin D metabolism: short-term results from a prospective randomized clinical trial,” Surgical Endoscopy, vol. 28, no. 3, pp. 821–826, 2014. View at Publisher · View at Google Scholar
  27. M. Coupaye, P. Rivière, M. C. Breuil et al., “Comparison of nutritional status during the first year after sleeve gastrectomy and Roux-en-Y gastric bypass,” Obesity Surgery, vol. 24, no. 2, pp. 276–283, 2014. View at Publisher · View at Google Scholar · View at Scopus
  28. V. Yoon, N. M. Maalouf, and K. Sakhaee, “The effects of smoking on bone metabolism,” Osteoporosis International, vol. 23, no. 8, pp. 2081–2092, 2012. View at Publisher · View at Google Scholar · View at Scopus
  29. F. R. Pérez-López, M. Brincat, C. T. Erel et al., “EMAS position statement: vitamin D and postmenopausal health,” Maturitas, vol. 71, no. 1, pp. 83–88, 2012. View at Publisher · View at Google Scholar · View at Scopus
  30. M. Brincat, J. Gambin, M. Brincat, and J. Calleja-Agius, “The role of vitamin D in osteoporosis,” Maturitas, vol. 80, no. 3, pp. 329–332, 2015. View at Publisher · View at Google Scholar