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  • 217 -5 (79) 2025 - Madaripova D.A. - PREVENTING AND MANAGING PRE- AND POSTOPERATIVE MICRONUTRIENT DEFICIENCIES: A VITAL COMPONENT OF LONG-TERM SUCCESS IN BARIATRIC SURGERY

217 -5 (79) 2025 - Madaripova D.A. - PREVENTING AND MANAGING PRE- AND POSTOPERATIVE MICRONUTRIENT DEFICIENCIES: A VITAL COMPONENT OF LONG-TERM SUCCESS IN BARIATRIC SURGERY

PREVENTING AND MANAGING PRE- AND POSTOPERATIVE MICRONUTRIENT DEFICIENCIES: A VITAL COMPONENT OF LONG-TERM SUCCESS IN BARIATRIC SURGERY

Madaripova D.A. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

Bariatric surgery (BS) is an effective treatment for severe obesity and its related comorbidities, such as type 2 diabetes and hypertension. However, the anatomical and physiological changes associated with these procedures significantly increase the risk of both preoperative and postoperative micronutrient deficiencies. Such deficiencies can lead to serious complications, including anemia, osteoporosis, and neurological disorders. This review explores the prevalence and clinical impact of micronutrient deficiencies in patients who have undergone bariatric surgery, along with evidence-based strategies for their prevention and correction. The most commonly affected nutrients include iron, vitamin B12, folic acid, calcium, vitamin D, and fat-soluble vitamins (A, E, and K). Malabsorptive procedures, such as Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD/DS), carry a higher risk compared to restrictive procedures like sleeve gastrectomy (SG). Effective prevention strategies involve identifying and correcting deficiencies before surgery, ongoing laboratory monitoring, and individualized supplementation. However, patient adherence to supplementation often declines over time due to behavioral and socioeconomic factors. Therefore, the prevention and management of micronutrient deficiencies are essential components of the long-term success of bariatric treatment. Although current clinical guidelines are helpful, many are based on low-quality evidence, underscoring the need for further research. A multidisciplinary approach and the use of modern tools, such as telemedicine, may improve adherence and clinical outcomes

Keywords: Bariatric surgery, micronutrient deficiency, iron, vitamin B12, folic acid, calcium, vitamin D, fat-soluble vitamins (A, E, K)

First page

1070

Last page

1077

For citation:Madaripova D.A. - PREVENTING AND MANAGING PRE- AND POSTOPERATIVE MICRONUTRIENT DEFICIENCIES: A VITAL COMPONENT OF LONG-TERM SUCCESS IN BARIATRIC SURGERY//New Day in Medicine 5(79)2025 1070-1077 https://newdayworldmedicine.com/en/new_day_medicine/5-79-2025

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