SECONDARY HYPERPARATHYROIDISM AFTER BARIATRIC SURGERY: TREATMENT IS WITH CALCIUM CARBONATE OR CALCIUM CITRATE?

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 calciu...

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Detalles Bibliográficos
Autores principales: BARETTA, Giorgio Alfredo Pedroso, CAMBI, Maria Paula Carlini, RODRIGUES, Arieli Luz, MENDES, Silvana Aparecida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2015
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795306/
https://www.ncbi.nlm.nih.gov/pubmed/26537273
http://dx.doi.org/10.1590/S0102-6720201500S100013
Descripción
Sumario: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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