Endocrinology and Metabolic Diseases Specialist Prof. Dr. Mitat Bahçeci said, “It is of vital importance to measure vitamin and mineral values in blood at certain intervals before and after surgery. “It is necessary to carry out these comprehensive evaluations in order to ensure that the surgery does not pose a risk and the quality of life of the patient after the operation is good.”
Endocrinology and Metabolic Diseases Specialist Prof. Dr. Mitat Bahçeci reminded that obesity, which has become a health problem of the age, is held responsible for diseases such as diabetes, fatty liver, hypertension, stroke, cancer, insulin resistance and sleep apnea. Noting that obese people are recommended to lose weight because it causes so many and life-threatening diseases, and obesity surgery has become an important alternative method for people who cannot lose weight with diet and sports. Dr. Bahçeci said, “Obesity surgery is emerging as a more and more frequent surgical procedure, especially tube stomach. For this reason, there are some points that should be done before and after the surgery for patients who will undergo this type of surgery, so that the surgery does not pose a danger and the quality of life after surgery is not impaired.
Stating that “All patients who go to bariatric surgery (the general name given to various bariatric surgery operations that help with weight loss) should take a complete multivitamin and mineral supplement including thiamine (vitamin B1), iron, folic acid, selenium, zinc and copper, İzmir Kent Hospital Endocrinology and Metabolic Diseases Specialist Prof. Dr. Mitat Bahçeci said, “In addition to multivitamin and mineral supplements, iron and vitamin B12 should be made in the muscle. These patients need supplements of zinc, copper and selenium in addition to Vitamins A and E, ”he said.
WHICH VALUES TO BE LOOKED FOR
Prof. Dr. Bahçeci also gave the following information to the patients about the examinations that should be done before and after the surgery:
“In the preoperative evaluation; Complete blood count including hemoglobin, ferritin, folic acid and vitamin B12, 25-hydroxyvitamin D3, calcium, parathyroid hormone, hemoglobin A1c (HbA1c), ipid profile, liver and kidney function tests should be performed. Again, when suspected, vitamin A, zinc, copper and selenium levels should also be measured and if a deficiency is detected in them before surgical intervention, it should be treated. Lifelong follow-up is also essential in order to determine the deficiencies that may occur in all patients, to prevent the development of complications and to provide nutritional needs after surgery. Patients will lead a healthy and quality life as long as they pay attention to them. “
Providing information about the tests that should be done 3, 6 and 12 months after the surgical procedure and once a year thereafter, Prof. Dr. Bahçeci said, “Liver and kidney function tests, complete blood count, measurement of serum ferritin level, measurement of serum folic acid, vitamin B12, vitamin D and calcium levels, vitamin A, vitamin E and vitamin K1 levels after the intervention or at regular intervals if there are deficiency symptoms. must be measured. If necessary, zinc, copper and selenium levels should also be measured. Severe thiamine (vitamin B1) deficiency should be kept in mind in patients undergoing bariatric surgery. “If deficiency is suspected, oral or intravenous (IV) treatment should be done without delay.”