[Treatment of anemia in patients undergoing bariatric surgery].

Abstract

Iron deficiency in patients with morbid obesity can occur before bariatric surgery due to its inflammatory component and after surgery as the result of implementing the malabsorptive techniques. For patients with morbid obesity, micronutrient deficiencies, such as vitamin B12, iron and folate, should be suspected. Iron deficiency and other hematinics should be corrected, even when anemia has not been established. Normal ferritin levels do not allow us to rule out a possible iron deficiency, given that ferritin can increase due to the chronic inflammatory condition of obesity. After bariatric surgery, patients should take iron supplements; however, these supplements are frequently poorly tolerated. Rapid and effective correction of hemoglobin levels might require the intravenous administration of iron preparations.

• Authors: M Basora Macaya
• Journal: Revista espanola de anestesiologia y reanimacion (Rev Esp Anestesiol Reanim) Vol. 62 Suppl 1 Pg. 76-9 (Jun 2015) ISSN: 2340-3284 [Electronic] Spain
• Vernacular Title: Tratamiento de la anemia en pacientes intervenidos de cirugía bariátrica.
• PMID: 26320349 (Publication Type: Journal Article)
• Copyright: Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

Chemical References

• Hematinics
• Hemoglobins
• Recombinant Proteins
• Erythropoietin
• Iron

Topics

• Anemia (diagnosis, epidemiology, etiology, therapy)
• Bariatric Surgery
• Blood Loss, Surgical
• Blood Transfusion
• Erythropoietin (therapeutic use)
• Female
• Hematinics (therapeutic use)
• Hemoglobins (analysis)
• Humans
• Iron (administration & dosage, therapeutic use)
• Male
• Medical Errors (prevention & control)
• Obesity, Morbid (blood, complications, surgery)
• Practice Guidelines as Topic
• Preoperative Care (methods)
• Recombinant Proteins (therapeutic use)
• Risk Factors