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A Systematic Review: Vitamin D Status and Sleeve Gastrectomy

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Abstract

Background

Bariatric patients regularly present with insufficient vitamin D status before and after surgery, which requires substantial supplementation to treat. This review aims to assess the effect of sleeve gastrectomy on vitamin D status and the effectiveness of vitamin D supplementation.

Methods

This review was conducted in accordance with the Guidelines for Meta-Analyses and Systematic Reviews of Observational Studies.

Results

The current guidelines recommend initial vitamin D supplementation of at least 3000 IU/day post-operatively, with no need for follow-up testing after sleeve gastrectomy. Only one study has trialled a dose in line with the recommendations for this patient group. They found that it was effective in improving VitD status.

Conclusions

On-going monitoring of vitamin D status is necessary, as the recommended level is not often reached.

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Authors

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Correspondence to Clare F. Dix.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Responsibilities and Consent

All authors contributed to the paper conception, design, data collection, or data interpretation and/or analysis. All authors participated in the writing or critical review of the article and have approved the manuscript being submitted. This article is the original work of the submitting authors, is not being considered for publication or been published elsewhere and does not breach any copyright to any other work.

Funding/Support

No funding was awarded for this work. Supported by the University of Queensland.

Appendix A – PubMed Search

Appendix A – PubMed Search

((“Vitamin D*” OR “Cholecalciferol” OR “Calcifediol” OR “Calcidiol” OR “Hydroxycholecalciferol” OR “Ergocalciferol” OR “25-hydroxyvitamin D*” OR “25OHD” OR “Calcitriol” OR “1,25-dihydroxyvitamin D*” OR “125OHD”)) AND (“Bariatric surgery” OR “Obesity surgery” OR “Gastric sleeve” OR “Sleeve Gastrectomy”).

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Dix, C.F., Bauer, J.D. & Wright, O.R.L. A Systematic Review: Vitamin D Status and Sleeve Gastrectomy. OBES SURG 27, 215–225 (2017). https://doi.org/10.1007/s11695-016-2436-1

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