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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
Print version ISSN 0102-6720On-line version ISSN 2317-6326
Abstract
BARETTA, Giorgio Alfredo Pedroso; CAMBI, Maria Paula Carlini; RODRIGUES, Arieli Luz and MENDES, Silvana Aparecida. SECONDARY HYPERPARATHYROIDISM AFTER BARIATRIC SURGERY: TREATMENT IS WITH CALCIUM CARBONATE OR CALCIUM CITRATE?. ABCD, arq. bras. cir. dig. [online]. 2015, vol.28, suppl.1, pp.43-45. ISSN 2317-6326. https://doi.org/10.1590/S0102-6720201500S100013.
Background :
Bariatric surgery, especially Roux-en-Y gastric bypass, can cause serious nutritional complications arising from poor absorption of essential nutrients. Secondary hyperparathyroidism is one such complications that leads to increased parathyroid hormone levels due to a decrease in calcium and vitamin D, which may compromise bone health.
Aim
: To compare calcium carbonate and calcium citrate in the treatment of secondary hyperparathyroidism.
Method
: Patients were selected on the basis of their abnormal biochemical test and treatment was randomly done with citrate or calcium carbonate.
Results
: After 60 days of supplementation, biochemical tests were repeated, showing improvement in both groups.
Conclusion
: Supplementation with calcium (citrate or carbonate) and vitamin D is recommended after surgery for prevention of secondary hyperparathyroidism.
Keywords : Secondary hyperparathyroidism; Bariatric surgery; Nutritional deficiencies.