{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:06:52Z","timestamp":1757700412621},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Introduction: Bariatric surgery is considered the most effective tool in the control and treatment of severe obesity, but patients undergoing this procedure are at increased risk of developing nutritional deficiencies by limiting the intake and absorption of many nutrients.  Objective: To assess the impact of vitamin D deficiency and calcium in bone in patients after gastric bypass in Roux-en-Y, pointing directly at the type of administration, doses and effects after surgery.  Method: Was conducted a systematic review with articles related to the topic of the last 10 years searched in PubMed (US National Library of Medicine National Institutes of Health, Medline, Lilacs, Scielo and Cochrane using the headings \"bariatric surgery\", \"bone\", \"obesity\", \"vitamin D '', \"calcium\" AND \"absorption\". Exclusion criteria to research on animals, smokers, pregnant women and patient treated with bisphosphonates.  Results: Five articles were included in this review. All refer that bariatric surgery can lead to nutritional deficiencies and poor absorption of fats and fat-soluble vitamins and other micronutrients such as calcium.  Conclusion: Patients submitted to RYGB should make use of multivitamins and minerals especially vitamin D and calcium to prevent bone fractures. Monitoring, treatment and control of risk factors are essential to prevent complications after this operation.<\/jats:p>","DOI":"10.1590\/0102-6720201600s10029","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T21:40:08Z","timestamp":1474494008000},"page":"120-123","source":"Crossref","is-referenced-by-count":10,"title":["IMPACT OF VITAMIN D AND CALCIUM DEFICIENCY IN THE BONES OF PATIENTS UNDERGOING BARIATRIC SURGERY: A SYSTEMATIC REVIEW"],"prefix":"10.1590","volume":"29","author":[{"given":"Jefry Alberto Vargas","family":"CABRAL","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela Pereira de","family":"SOUZA","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana de Almeida","family":"NASCIMENTO","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Fernando","family":"SIMONETI","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"MARCHESE","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia Helena de Carvalho","family":"SALES-PERES","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2016]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/00075197-200409000-00010","article-title":"Nutrient deficiencies secondary to bariatric surgery","volume":"7","author":"Alvarez-Leite JI","year":"2004","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"2","key":"ref2","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.jamcollsurg.2007.02.078","article-title":"Evaluation of markers for calcium homeostasis in a population of obese adults undergoing gastric bypass operations","volume":"205","author":"Avgerinos DV","year":"2007","journal-title":"J Am Coll Surg."},{"issue":"590","key":"ref3","first-page":"593","article-title":"Roux-en-Y gastric bypass for morbid obesity","volume":"76","author":"Barrow CJ","year":"2002","journal-title":"AORN J"},{"key":"ref4","first-page":"1031","article-title":"Treatment with high-dose oral vitamin D2 in patients with jejuno-ileal bypass for morbid obesity. Effects on calcium and magnesium metabolism, vitamin D metabolites, and faecal lag time","volume":"19","author":"Charles P","year":"1984","journal-title":"Scand J Gastroenterol"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(78)91318-1","article-title":"Bone disease after jejuno-ileal bypass for obesity","author":"Compston JE","year":"1978","journal-title":"Lancet"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1590\/0102-6720201600010010","article-title":"Impact of deficient nutrition in bone mass after bariatric surgery","volume":"29","author":"Costa TMRL","year":"2016","journal-title":"Arq Bras Cir Dig"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/00365527809179810","article-title":"Calcium malabsorption and absence of bone decalcination following intestinal shunt operation for obesity. A comparison of two types of operation","volume":"13","author":"Dano P","year":"1978","journal-title":"Scand J Gastroenterol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/0002-9343(71)90333-0","article-title":"Metabolic bone disease after gastrectomy","volume":"50","author":"Eddy RL","year":"1971","journal-title":"Am J Med"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1007\/s11695-010-0138-7","article-title":"Calcium and Vitamin D Supplementation after Gastric Bypass Should Be Individualized to Improve or Avoid Hyperparathyroidism","volume":"20","author":"Flores L","year":"2010","journal-title":"Obesity Surgery"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1007\/s11695-010-0138-7","article-title":"Calcium and vitamin D supplementation after gastric bypass should be individualized to improve or avoid hyperparathyroidism","volume":"20","author":"Flores L","year":"2010","journal-title":"Obes surg"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s11695-007-9315-8","article-title":"Prevalence of vitamin D insufficiency and deficiency in morbidly obese patients: a comparison with non-obese controls","volume":"18","author":"Goldner WS","year":"2008","journal-title":"Obes Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1097\/00000658-197906000-00016","article-title":"Skeletal abnormalities after jejunoileal bypass","volume":"189","author":"Halverson JD","year":"1979","journal-title":"Ann Surg"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1381\/096089204772787211","article-title":"Calcium metabolism in the morbidly obese","volume":"14","author":"Hamoui N","year":"2004","journal-title":"Obes Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"343","DOI":"10.3109\/00365528009181481","article-title":"The absorption of oxalate, calcium, and fat after jejunoileal bypass. A prospective study.","volume":"15","author":"Hylander E","year":"1980","journal-title":"Scand J Gastroenterol"},{"key":"ref15","first-page":"51","article-title":"Bariatric surgery-where do we go from here?","volume":"89","author":"Jones KB","year":"2004","journal-title":"Int Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1159\/000199304","article-title":"Intestinal calcium absorption in patients after jejuno-ileal bypass or small intestinal resection and the effect of vitamin D","volume":"34","author":"Nunan TO","year":"1986","journal-title":"Digestion"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"193","DOI":"10.7326\/0003-4819-89-2-193","article-title":"Metabolic bone disease after intestinal bypass for treatment of obesity","volume":"89","author":"Parfitt AM","year":"1978","journal-title":"Ann Intern Med"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"897","DOI":"10.3109\/00365529008997610","article-title":"Calcium absorption and bone mineral content in patients subjected to ileal bypass because of familial hypercholesterolaemia","volume":"25","author":"Rannem T","year":"1990","journal-title":"Scand J Gastroenterol"},{"issue":"11","key":"ref19","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1038\/oby.2006.226","article-title":"True fractional calcium absorption is decreased after Roux-en-Y gastric bypass surgery","volume":"14","author":"Riedt CS","year":"2006","journal-title":"Obesity (Silver Spring)."},{"key":"ref20","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1590\/S0102-6720201500S100016","article-title":"Clinical and nutritional aspects in obese women during the first year after roux-en-y gastric bypass","volume":"28","author":"Santos TD","year":"2015","journal-title":"Arq Bras Cir Dig"},{"issue":"2","key":"ref21","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1590\/S0102-67202009000200008","article-title":"Partial gastrectomy associated to anterior truncal vagotomy: alterations in metabolism of the calcium. 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Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v29s1\/0102-6720-abcd-29-s1-00120.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T19:15:13Z","timestamp":1579893313000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202016000600120&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":28,"journal-issue":{"issue":"suppl 1","published-online":{"date-parts":[[2016]]}},"alternative-id":["S0102-67202016000600120"],"URL":"https:\/\/doi.org\/10.1590\/0102-6720201600s10029","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2016]]}}}