Page 29 - WJOLS - Journal of Laparoscopic Surgery
P. 29

Pallikonda S Madhulika, Juan González-Tova


                                     There were no significant   differences between the  average bone mass density  and prevalence of vertebral   fractures in both groups  The parathyroid hormone   leads cortical bone  destruction and improving  serum Ca. 80% of patients  have vitamin D deficiency   but not bone fractures  After 2 years the patient  showed no fracture or risk to   Total calcium decreases in  body-related mobilization  of bone. Supplementation  with v





                                   Conclusion                      bone fracture level     bone formation





                               Time of   medical   therapy  From 7 to   22 months  4,8, and    12 months  2 years  1.8 years  6 months






                                   Doses  600 mg diet   +  200 mg   tablet of Ca   and 500 IU   vitamin D   (per day)  1,200 mg   Ca and 800   IU vitamin D   (per day)  500 mg Ca   and 400 IU   (per day)  1,200 mg   Ca and 800   IU vitamin D  Diet, 1,000   mg of Ca,   and 400 IU   vitamin D


                                   Individual  People  People  Person  People    People





                                 Type of   administration  Tablets and   diet  Tablets  Tablets  Tablets  Tablets, diet,   and injections


                            Table 1: Articles reviewed  Type of   medication  Sex  Calcium   and   vitamin D  Calcium   F and   and    vitamin D  Calcium   and   vitamin D  Calcium   M and   and   vitamin D  Calcium   and   vitamin D











                                 Age   (years)  F  >18  18–65  M  F  56  21–64  F  F  29–62



                                 Type of   surgery  RYGB  RYGBL  RYGB  RYGB      RYGB and   RYGBL (5:   open field   and 16   laparoscopy)



                                     n  =  29     n  =  222    n  =  1  n  =  444   (M  =  91   F  =  353)  n  =  21
                                   n
                                 Period of   follow-up  From 7 to   22 months  1 year  2 years  2 years  6 months




                                 Study   location  Brazil  Espain  United   States  United   States  United   States


                                   Type of study  Case series  Prospective   cohort study  Case study  Prospective   cohort study  Prospective   cohort study  RYGBL: Roux-en-Y gastric bypass laparoscopy






                                 Reference   (year)  Vasconcelos    et al 18  Flores    et al 19  Williams    et al 20  Avgerinos    et al 21  Riedt et al 22




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