{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:12:24Z","timestamp":1787508744898,"version":"build-2736575974"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Among commonly performed bariatric surgeries, biliopancreatic diversion with duodenal switch (BPD-DS) provides greater weight loss than Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG), with sustained metabolic improvements. However, the risk of long-term nutritional deficiencies due to the hypoabsorptive component of BPD-DS hinders its widespread use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the study was to examine nutritional status over 2\u2009years after BPD-DS, RYGB or SG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were recruited in the REMISSION trial (NCT02390973), a single-center, prospective study. Out of 215 patients, 73, 48 and 94, respectively, underwent BPD-DS, RYGB or SG. Weight loss, micronutrient serum levels (including iron, calcium, parathormone, vitamins A, B12 and D), and nutritional supplementation were assessed over 2\u2009years. Patients were supplemented according to the type of surgery and individual micronutrient level evolution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At baseline, BPD-DS patients were younger than SG patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0051) and RYGB patients had lower body mass index (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Groups had similar micronutrient levels before surgery, with vitamin D insufficiency as the most prevalent nutritional problem (SG: 38.3%, RYGB: 39.9%, BPD-DS: 54.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.08). BPD-DS patients showed lower levels of iron, calcium and vitamin A than SG patients at 24\u2009months. Groups had similar levels of vitamin D at 24\u2009months. Prevalence of vitamin D, calcium, iron, vitamin A and vitamin B12 deficiency was similar among groups at 24\u2009months. Rates of vitamin D insufficiency and iron deficiency were lower at 24\u2009months than at baseline. Micronutrient intake was consistent with recommendations in groups post-surgery, but most BPD-DS patients took vitamin A and vitamin D supplement doses above initial recommendations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>With appropriate medical and nutritional management, all surgeries led to similar rates of vitamin D, calcium, iron, vitamin A and vitamin B12 deficiencies at 24\u2009months. However, initial vitamin A and vitamin D supplementation recommendations for BPD-DS patients should be revised upwards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2024.1385510","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T12:20:53Z","timestamp":1715689253000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":16,"title":["Micronutrient status 2\u2009years after bariatric surgery: a prospective nutritional assessment"],"prefix":"10.3389","volume":"11","author":[{"given":"Marianne","family":"C\u00f4t\u00e9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Pelletier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9lanie","family":"Nadeau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9onie","family":"Bouvet-Bouchard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Julien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9anne","family":"Michaud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Biertho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Tchernof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"E875","DOI":"10.1503\/cmaj.191707","article-title":"Obesity in adults: a clinical practice guideline","volume":"192","author":"Wharton","year":"2020","journal-title":"CMAJ"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.amjmed.2012.10.010","article-title":"The long-term effectiveness of a lifestyle intervention in severely obese individuals","volume":"126","author":"Unick","year":"2013","journal-title":"Am J Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1056\/NEJMoa1200225","article-title":"Bariatric surgery versus intensive medical therapy in obese patients with diabetes","volume":"366","author":"Schauer","year":"2012","journal-title":"N Engl J Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1007\/s11695-024-07118-3","article-title":"IFSO worldwide survey 2020-2021: current trends for bariatric and metabolic procedures","volume":"34","author":"Angrisani","year":"2024","journal-title":"Obes Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1381\/096089293765559728","article-title":"Biliopancreatic diversion with a New type of gastrectomy","volume":"3","author":"Marceau","year":"1993","journal-title":"Obes Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1159\/000354313","article-title":"Laparoscopic sleeve gastrectomy: with or without duodenal switch? 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