Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis
Background Gastric bypass (GB) and sleeve gastrectomy (SG) are two common types of bariatric surgery that carry many potential complications. Among these complications, bone metabolism-related diseases have attracted substantial attention; however, no meta-analysis of them has been performed to date...
Gespeichert in:
| Veröffentlicht in: | Obesity surgery 2020, Vol.30 (1), p.77-86 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 86 |
|---|---|
| container_issue | 1 |
| container_start_page | 77 |
| container_title | Obesity surgery |
| container_volume | 30 |
| creator | Tian, Zhao Fan, Xin-Tong Li, Shi-Zhen Zhai, Ting Dong, Jing |
| description | Background
Gastric bypass (GB) and sleeve gastrectomy (SG) are two common types of bariatric surgery that carry many potential complications. Among these complications, bone metabolism-related diseases have attracted substantial attention; however, no meta-analysis of them has been performed to date.
Methods
We searched PubMed, Web of Science, The Cochrane Library, and Embase to identify relevant studies published before January 2019. The following indicators were evaluated: serum parathyroid hormone (PTH), calcium, phosphorus and 25-hydroxyvitamin D levels, body mass index (BMI), and bone mineral density (BMD).
Results
Thirteen studies met our inclusion criteria. Overall results showed that patients undergoing GB had lower levels of 25-hydroxyvitamin D (MD = − 1.85, 95% CI (− 3.32, − 0.39)
P
= 0.01) and calcium (MD = − 0.15, 95% CI (− 0.24, − 0.07)
P
= 0.0006) as well as higher levels of PTH (MD = 3.58, 95% CI (0.61, 7.09)
P
= 0.02) and phosphorus (MD = 0.22, 95% CI (0.10, 0.35)
P
= 0.0005). The results of BMI and BMD were comparable in each group.
Conclusion
Our meta-analysis suggested that obese patients undergoing GB had lower levels of serum calcium and 25-hydroxyvitamin D as well as higher levels of serum phosphorus and PTH. To prevent postoperative bone metabolism-related diseases, appropriate postoperative interventions should be undertaken for particular surgical procedures. |
| doi_str_mv | 10.1007/s11695-019-04119-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2273781410</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2273781410</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-e2fbafce0466943e1151ff5e78606e311c87fcc5605085df3dfd72259fca58ce3</originalsourceid><addsrcrecordid>eNp9kM2OFCEUhYnROO3oC7gwJG7clN5LFQW46-noaDLGhT8LN4SmL1qT-mm5VSb99uLUqIkLNxDgOwf4hHiM8BwBzAtGbJ2uAF0FDZZR3xEbNGDLUtm7YgOuhco6VZ-JB8zXAApbpe6LsxobbJQzG_Fl9y2MX4llN8qLaST5juawn_qOB7lNM2X5oSf6QfIy8JwpztNwkp8p88LrVhflxekYmF_KcBOutmPoT9zxQ3EvhZ7p0e18Lj69fvVx96a6en_5dre9qmKDbq5IpX1IkaBpW9fUhKgxJU3GttBSjRitSTHqFjRYfUj1IR2MUtqlGLSNVJ-LZ2vvMU_fF-LZDx1H6vsw0rSwV8rUxpYfQ0Gf_oNeT0su710pQOuMKpRaqZgn5kzJH3M3hHzyCP6Xeb-a98W8vzHvdQk9ua1e9gMd_kR-qy5AvQJcjory_Pfu_9T-BKL-jXI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2273018972</pqid></control><display><type>article</type><title>Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis</title><source>SpringerLink Journals - AutoHoldings</source><creator>Tian, Zhao ; Fan, Xin-Tong ; Li, Shi-Zhen ; Zhai, Ting ; Dong, Jing</creator><creatorcontrib>Tian, Zhao ; Fan, Xin-Tong ; Li, Shi-Zhen ; Zhai, Ting ; Dong, Jing</creatorcontrib><description>Background
Gastric bypass (GB) and sleeve gastrectomy (SG) are two common types of bariatric surgery that carry many potential complications. Among these complications, bone metabolism-related diseases have attracted substantial attention; however, no meta-analysis of them has been performed to date.
Methods
We searched PubMed, Web of Science, The Cochrane Library, and Embase to identify relevant studies published before January 2019. The following indicators were evaluated: serum parathyroid hormone (PTH), calcium, phosphorus and 25-hydroxyvitamin D levels, body mass index (BMI), and bone mineral density (BMD).
Results
Thirteen studies met our inclusion criteria. Overall results showed that patients undergoing GB had lower levels of 25-hydroxyvitamin D (MD = − 1.85, 95% CI (− 3.32, − 0.39)
P
= 0.01) and calcium (MD = − 0.15, 95% CI (− 0.24, − 0.07)
P
= 0.0006) as well as higher levels of PTH (MD = 3.58, 95% CI (0.61, 7.09)
P
= 0.02) and phosphorus (MD = 0.22, 95% CI (0.10, 0.35)
P
= 0.0005). The results of BMI and BMD were comparable in each group.
Conclusion
Our meta-analysis suggested that obese patients undergoing GB had lower levels of serum calcium and 25-hydroxyvitamin D as well as higher levels of serum phosphorus and PTH. To prevent postoperative bone metabolism-related diseases, appropriate postoperative interventions should be undertaken for particular surgical procedures.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-019-04119-5</identifier><identifier>PMID: 31414297</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Gastrointestinal surgery ; Medicine ; Medicine & Public Health ; Meta-analysis ; Metabolism ; Original Contributions ; Phosphorus ; Surgery ; Vitamin D</subject><ispartof>Obesity surgery, 2020, Vol.30 (1), p.77-86</ispartof><rights>The Author(s) 2019</rights><rights>Obesity Surgery is a copyright of Springer, (2019). All Rights Reserved. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-e2fbafce0466943e1151ff5e78606e311c87fcc5605085df3dfd72259fca58ce3</citedby><cites>FETCH-LOGICAL-c419t-e2fbafce0466943e1151ff5e78606e311c87fcc5605085df3dfd72259fca58ce3</cites><orcidid>0000-0002-7027-9567</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-019-04119-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-019-04119-5$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31414297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tian, Zhao</creatorcontrib><creatorcontrib>Fan, Xin-Tong</creatorcontrib><creatorcontrib>Li, Shi-Zhen</creatorcontrib><creatorcontrib>Zhai, Ting</creatorcontrib><creatorcontrib>Dong, Jing</creatorcontrib><title>Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Gastric bypass (GB) and sleeve gastrectomy (SG) are two common types of bariatric surgery that carry many potential complications. Among these complications, bone metabolism-related diseases have attracted substantial attention; however, no meta-analysis of them has been performed to date.
Methods
We searched PubMed, Web of Science, The Cochrane Library, and Embase to identify relevant studies published before January 2019. The following indicators were evaluated: serum parathyroid hormone (PTH), calcium, phosphorus and 25-hydroxyvitamin D levels, body mass index (BMI), and bone mineral density (BMD).
Results
Thirteen studies met our inclusion criteria. Overall results showed that patients undergoing GB had lower levels of 25-hydroxyvitamin D (MD = − 1.85, 95% CI (− 3.32, − 0.39)
P
= 0.01) and calcium (MD = − 0.15, 95% CI (− 0.24, − 0.07)
P
= 0.0006) as well as higher levels of PTH (MD = 3.58, 95% CI (0.61, 7.09)
P
= 0.02) and phosphorus (MD = 0.22, 95% CI (0.10, 0.35)
P
= 0.0005). The results of BMI and BMD were comparable in each group.
Conclusion
Our meta-analysis suggested that obese patients undergoing GB had lower levels of serum calcium and 25-hydroxyvitamin D as well as higher levels of serum phosphorus and PTH. To prevent postoperative bone metabolism-related diseases, appropriate postoperative interventions should be undertaken for particular surgical procedures.</description><subject>Gastrointestinal surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Metabolism</subject><subject>Original Contributions</subject><subject>Phosphorus</subject><subject>Surgery</subject><subject>Vitamin D</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kM2OFCEUhYnROO3oC7gwJG7clN5LFQW46-noaDLGhT8LN4SmL1qT-mm5VSb99uLUqIkLNxDgOwf4hHiM8BwBzAtGbJ2uAF0FDZZR3xEbNGDLUtm7YgOuhco6VZ-JB8zXAApbpe6LsxobbJQzG_Fl9y2MX4llN8qLaST5juawn_qOB7lNM2X5oSf6QfIy8JwpztNwkp8p88LrVhflxekYmF_KcBOutmPoT9zxQ3EvhZ7p0e18Lj69fvVx96a6en_5dre9qmKDbq5IpX1IkaBpW9fUhKgxJU3GttBSjRitSTHqFjRYfUj1IR2MUtqlGLSNVJ-LZ2vvMU_fF-LZDx1H6vsw0rSwV8rUxpYfQ0Gf_oNeT0su710pQOuMKpRaqZgn5kzJH3M3hHzyCP6Xeb-a98W8vzHvdQk9ua1e9gMd_kR-qy5AvQJcjory_Pfu_9T-BKL-jXI</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Tian, Zhao</creator><creator>Fan, Xin-Tong</creator><creator>Li, Shi-Zhen</creator><creator>Zhai, Ting</creator><creator>Dong, Jing</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7027-9567</orcidid></search><sort><creationdate>2020</creationdate><title>Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis</title><author>Tian, Zhao ; Fan, Xin-Tong ; Li, Shi-Zhen ; Zhai, Ting ; Dong, Jing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-e2fbafce0466943e1151ff5e78606e311c87fcc5605085df3dfd72259fca58ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Gastrointestinal surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Metabolism</topic><topic>Original Contributions</topic><topic>Phosphorus</topic><topic>Surgery</topic><topic>Vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tian, Zhao</creatorcontrib><creatorcontrib>Fan, Xin-Tong</creatorcontrib><creatorcontrib>Li, Shi-Zhen</creatorcontrib><creatorcontrib>Zhai, Ting</creatorcontrib><creatorcontrib>Dong, Jing</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tian, Zhao</au><au>Fan, Xin-Tong</au><au>Li, Shi-Zhen</au><au>Zhai, Ting</au><au>Dong, Jing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2020</date><risdate>2020</risdate><volume>30</volume><issue>1</issue><spage>77</spage><epage>86</epage><pages>77-86</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Gastric bypass (GB) and sleeve gastrectomy (SG) are two common types of bariatric surgery that carry many potential complications. Among these complications, bone metabolism-related diseases have attracted substantial attention; however, no meta-analysis of them has been performed to date.
Methods
We searched PubMed, Web of Science, The Cochrane Library, and Embase to identify relevant studies published before January 2019. The following indicators were evaluated: serum parathyroid hormone (PTH), calcium, phosphorus and 25-hydroxyvitamin D levels, body mass index (BMI), and bone mineral density (BMD).
Results
Thirteen studies met our inclusion criteria. Overall results showed that patients undergoing GB had lower levels of 25-hydroxyvitamin D (MD = − 1.85, 95% CI (− 3.32, − 0.39)
P
= 0.01) and calcium (MD = − 0.15, 95% CI (− 0.24, − 0.07)
P
= 0.0006) as well as higher levels of PTH (MD = 3.58, 95% CI (0.61, 7.09)
P
= 0.02) and phosphorus (MD = 0.22, 95% CI (0.10, 0.35)
P
= 0.0005). The results of BMI and BMD were comparable in each group.
Conclusion
Our meta-analysis suggested that obese patients undergoing GB had lower levels of serum calcium and 25-hydroxyvitamin D as well as higher levels of serum phosphorus and PTH. To prevent postoperative bone metabolism-related diseases, appropriate postoperative interventions should be undertaken for particular surgical procedures.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31414297</pmid><doi>10.1007/s11695-019-04119-5</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7027-9567</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2020, Vol.30 (1), p.77-86 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2273781410 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Gastrointestinal surgery Medicine Medicine & Public Health Meta-analysis Metabolism Original Contributions Phosphorus Surgery Vitamin D |
| title | Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T17%3A51%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Changes%20in%20Bone%20Metabolism%20After%20Sleeve%20Gastrectomy%20Versus%20Gastric%20Bypass:%20a%20Meta-Analysis&rft.jtitle=Obesity%20surgery&rft.au=Tian,%20Zhao&rft.date=2020&rft.volume=30&rft.issue=1&rft.spage=77&rft.epage=86&rft.pages=77-86&rft.issn=0960-8923&rft.eissn=1708-0428&rft_id=info:doi/10.1007/s11695-019-04119-5&rft_dat=%3Cproquest_cross%3E2273781410%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2273018972&rft_id=info:pmid/31414297&rfr_iscdi=true |