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367674

Effect of laparoscopic mini gastric bypass versus laparoscopic single anastomosis sleeve ileal bypass on serum iron and calcium levels

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Last updated: 21 Dec 2024

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Abstract

Background
Although bariatric surgery techniques are very effective in the treatment of obesity, they are usually associated with evident nutritional deficiencies. Such operations require ongoing medical care along with vitamin (Vit) and nutrition supplements.
Aim
Is to determine and compare the effect of Laparoscopic mini gastric bypass (MGB) versus laparoscopic single anastomosis sleeve ileal bypass (SASI) on serum iron and calcium levels.
Methodology
The current prospective Randomized controlled study included 62 patients who were randomly allocated into one of two equal groups. Group A (=31) underwent MGB while group B (=31) underwent SASI. Follow-up was designed for 6 and 12 months in both groups for the serum iron profile, serum folate, Vit B12, Vit D, parathyroid hormone, and calcium level.
Results
There was a statistically significant decrease in Excess weight loss (EWL)% in both groups after 1, 6, and 12 months and a significant EWL % in group A more than group B (=0.045*). There was a statistically significant drop in the Iron profile components’ levels in both groups after 1, 6, and 12 months in comparison with the corresponding baseline levels. There was a statistically significant decrease in the calcium level as well as Vit D3 within both groups at 1, 6, and 12 months follow-up with a significant increase in Parathyroid hormone in both groups at the same interval of follow-up.
Conclusion
Both MGB and SASI are effective methods for the treatment of morbid obesity. However, adherent follow-up for the Iron profile, Vit B12, Vit D3, parathyroid hormone, and calcium levels are mandatory.

DOI

10.4103/ejs.ejs_319_23

Keywords

calcium level, iron profile, Mini gastric bypass, single anastomosis sleeve ileal

Authors

First Name

Ahmed M.

Last Name

Nawar

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Orcid

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First Name

Mostafa

Last Name

Baumy

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ahmed

Last Name

Eid

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ayman T.

Last Name

Mohamed

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Volume

43

Article Issue

2

Related Issue

49237

Issue Date

2024-04-01

Receive Date

2023-12-18

Publish Date

2024-03-22

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_367674.html

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https://ejsur.journals.ekb.eg/service?article_code=367674

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367,674

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

Effect of laparoscopic mini gastric bypass versus laparoscopic single anastomosis sleeve ileal bypass on serum iron and calcium levels

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Article

Created At

21 Dec 2024