title: [Treatment of anemia in patients undergoing bariatric surgery].
abstract: Iron deficiency in patients with morbid obesity can occur before bariatric surgery due to its inflammatory component and after surgery as the result of implementing the malabsorptive techniques. For patients with morbid obesity, micronutrient deficiencies, such as vitamin B12, iron and folate, should be suspected. Iron deficiency and other hematinics should be corrected, even when anemia has not been established. Normal ferritin levels do not allow us to rule out a possible iron deficiency, given that ferritin can increase due to the chronic inflammatory condition of obesity. After bariatric surgery, patients should take iron supplements; however, these supplements are frequently poorly tolerated. Rapid and effective correction of hemoglobin levels might require the intravenous administration of iron preparations.
authors: Servicio de Anestesiología y Reanimación, Hospital Clínic de Barcelona, Barcelona, España. Electronic address: mbasora@clinic.ub.es.
authors: M
authors: M
authors: Basora Macaya
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D050110:Bariatric Surgery; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D004921:Erythropoietin / Q000627:therapeutic use; D005260:Female; D006397:Hematinics / Q000627:therapeutic use; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007501:Iron / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D009767:Obesity, Morbid / Q000097:blood / Q000150:complications / Q000601:surgery; D017410:Practice Guidelines as Topic; D011300:Preoperative Care / Q000379:methods*; D011994:Recombinant Proteins / Q000627:therapeutic use; D012307:Risk Factors
chemical_list: D006397:Hematinics; D006454:Hemoglobins; D011994:Recombinant Proteins; D004921:Erythropoietin; D007501:Iron
keywords: Anemia; Bariatric surgery; Cirugía bariátrica; Deficiencia de hierro; Inflamación; Inflammation; Iron deficiency; Morbid obesity; Obesidad mórbida