Secondary Hyperparathyroidism after Bariatric Surgery: Treatment Is with Calcium Carbonate or Calcium Citrate?

نویسندگان

  • Giorgio Alfredo Pedroso BARETTA
  • Maria Paula Carlini CAMBI
  • Arieli Luz RODRIGUES
  • Silvana Aparecida MENDES
چکیده

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.

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عنوان ژورنال:

دوره 28  شماره 

صفحات  -

تاریخ انتشار 2015