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

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Giorgio Alfredo Pedroso Baretta¹  Maria Paula Carlini Cambi¹  Arieli Luz Rodrigues¹  Silvana Aparecida Mendes¹ 

关键词: Secondary hyperparathyroidism;    Bariatric surgery;    Nutritional deficiencies;    Hiperparatireoidismo secundário;    Cirurgia bariátrica;    Deficiências nutricionais;   

DOI  :  10.1590/S0102-6720201500S100013

来源: SciELO

【 摘 要 】

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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