Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study

Güler, Sertaç Ata; Güreşin, Alican; Onbaşılar, Umut; Kaya Celik, Handan; Şimşek, Turgay; Utkan, Nihat Zafer; Canturk, Nuh Zafer

doi:10.25048/tudod.1142865

Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study

Sertaç Ata GÜLER, (Kocaeli Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Kocaeli, Türkiye)

Alican GÜREŞİN, (Kocaeli Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Kocaeli, Türkiye)

Umut ONBAŞILAR, (Kocaeli Üniversitesi, Tıp Fakültesi, Kocaeli, Türkiye)

Turgay ŞİMŞEK, (Kocaeli Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Kocaeli, Türkiye)

Handan Kaya Celik, (Kocaeli Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Kocaeli, Türkiye)

Nihat Zafer UTKAN, (Kocaeli Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Kocaeli, Türkiye)

Nuh Zafer CANTÜRK (Kocaeli Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Kocaeli, Türkiye)

Türkiye Diyabet ve Obezite Dergisi

10 4

Yıl: 2022 Cilt: 6 Sayı: 3 Sayfa Aralığı: 208 - 214 Metin Dili: İngilizce DOI: 10.25048/tudod.1142865 İndeks Tarihi: 31-01-2023

Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study

Öz:

Aim: Complications from malnourishment when treating obesity are common, especially following bariatric surgery. Peripheral polyneuropathy due to vitamin and micronutrient deficiency is the most commonly encountered complication of bariatric surgery. The objective of this study was to investigate if this technique may lead to peripheral polyneuropathy due to vitamin B1, B2, B6, B12,folate, zinc, iron, and copper deficiency. Material and Methods: In this study nine patients whose obesity was treated with the Spatz3 intragastric balloon technique wereinvestigated for vitamin and micronutrient deficiencies and any consequent peripheral polyneuropathy. Vitamin B1, B2, B6, B12,zinc, copper, iron and folate were measured. Electromyography (EMG) was used to evaluate peripheral polyneuropathy, based on the Toronto Clinical Neuropathy Score (TCNS). Results: None of the patients had vitamin B1, B2 or B6 deficiency, whereas one patient (11%) had vitamin B12 and another one patient (11%) had folate deficiency. Copper deficiency was seen in five patients (55.6%), iron deficiency was seen in seven patients (77.8%) and zinc deficiency was seen in eight patients (88.9%). Two patients (22.2%) had abnormal sensory nevre velocity and were diagnosed with polyneuropathy. However, these two had normal concentrations of B vitamins and folate but were deficient for copper, iron, and zinc. Conclusion: The intragastric balloon technique does not appear to be associated with peripheral polyneuropathy due to vitamin B deficiency. In our opinion it is a safe approach for obesity treatment in terms of the risk of peripheral polyneuropathy due to vitamin B deficiency.

Anahtar Kelime: Obesity Gastric balloon Malnourishment Vitamin B deficiency Polyneuropathy

Obez Kişilerde Kullanılan İntragastrik Balon Tekniği Sonrası Vitamin ve Mikrobesin Eksikliği ve Periferik Polinöropati: Ön Çalışma

Öz:

Amaç: Obezite tedavisi sırasında yetersiz beslenmeden kaynaklanan komplikasyonlar, özellikle bariatrik cerrahiyi takiben yaygındır. Vitamin ve mikrobesin eksikliğine bağlı periferik polinöropati, obezite cerrahisinin en sık karşılaşılan komplikasyonudur. Bu çalışmanın amacı, bu tekniğin vitamin B1, B2, B6, B12, folat, çinko, demir ve bakır eksikliğine bağlı periferik polinöropatiye yol açıp açamayacağını araştırmaktır. Gereç ve Yöntemler: Bu çalışmada, obezitesi Spatz3 intragastrik balon tekniği ile tedavi edilen dokuz hasta, vitamin ve mikrobesin eksiklikleri ve buna bağlı periferik polinöropati açısından araştırıldı. Vitamin B1, B2, B6, B12, çinko, bakır, demir ve folat değerleri ölçüldü. Toronto Klinik Nöropati Skoru (TCNS)’na göre periferik polinöropatiyi değerlendirmek için elektromiyografi (EMG) kullanıldı. Bulgular: Hastaların hiçbirinde vitamin B1, B2 veya B6 eksikliği yoktu, bir hastada (%11) vitamin B12 ve başka bir hastada (%11) folat eksikliği vardı. Beş hastada (%55.6) bakır eksikliği, yedi hastada (%77.8) demir eksikliği ve sekiz hastada (%88.9) çinko eksikliği görüldü. İki hastada (%22.2) anormal duyu siniri hızı vardı ve polinöropati tanısı konuldu. Bununla birlikte bu ikisinin B vitamini ve folat konsantrasyonları normaldi ancak bakır, demir ve çinko eksikliği vardı. Sonuç: İntragastrik balon tekniği, B vitamini eksikliğinden kaynaklanan periferik polinöropati ile ilişkili görünmemektedir. B vitamini eksikliğine bağlı periferik polinöropati riski açısından obezite tedavisi için güvenli bir yaklaşım olduğunu düşünüyoruz.

Anahtar Kelime: Obezite Mide balonu Yetersiz beslenme B vitamini eksikliği Polinöropati

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Güler S, Güreşin A, Onbaşılar U, Şimşek T, Kaya Celik H, Utkan N, Canturk N (2022). Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. , 208 - 214. 10.25048/tudod.1142865
Chicago	Güler Sertaç Ata,Güreşin Alican,Onbaşılar Umut,Şimşek Turgay,Kaya Celik Handan,Utkan Nihat Zafer,Canturk Nuh Zafer Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. (2022): 208 - 214. 10.25048/tudod.1142865
MLA	Güler Sertaç Ata,Güreşin Alican,Onbaşılar Umut,Şimşek Turgay,Kaya Celik Handan,Utkan Nihat Zafer,Canturk Nuh Zafer Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. , 2022, ss.208 - 214. 10.25048/tudod.1142865
AMA	Güler S,Güreşin A,Onbaşılar U,Şimşek T,Kaya Celik H,Utkan N,Canturk N Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. . 2022; 208 - 214. 10.25048/tudod.1142865
Vancouver	Güler S,Güreşin A,Onbaşılar U,Şimşek T,Kaya Celik H,Utkan N,Canturk N Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. . 2022; 208 - 214. 10.25048/tudod.1142865
IEEE	Güler S,Güreşin A,Onbaşılar U,Şimşek T,Kaya Celik H,Utkan N,Canturk N "Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study." , ss.208 - 214, 2022. 10.25048/tudod.1142865
ISNAD	Güler, Sertaç Ata vd. "Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study". (2022), 208-214. https://doi.org/10.25048/tudod.1142865

APA	Güler S, Güreşin A, Onbaşılar U, Şimşek T, Kaya Celik H, Utkan N, Canturk N (2022). Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. Türkiye Diyabet ve Obezite Dergisi , 6(3), 208 - 214. 10.25048/tudod.1142865
Chicago	Güler Sertaç Ata,Güreşin Alican,Onbaşılar Umut,Şimşek Turgay,Kaya Celik Handan,Utkan Nihat Zafer,Canturk Nuh Zafer Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. Türkiye Diyabet ve Obezite Dergisi 6, no.3 (2022): 208 - 214. 10.25048/tudod.1142865
MLA	Güler Sertaç Ata,Güreşin Alican,Onbaşılar Umut,Şimşek Turgay,Kaya Celik Handan,Utkan Nihat Zafer,Canturk Nuh Zafer Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. Türkiye Diyabet ve Obezite Dergisi , vol.6, no.3, 2022, ss.208 - 214. 10.25048/tudod.1142865
AMA	Güler S,Güreşin A,Onbaşılar U,Şimşek T,Kaya Celik H,Utkan N,Canturk N Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. Türkiye Diyabet ve Obezite Dergisi . 2022; 6(3): 208 - 214. 10.25048/tudod.1142865
Vancouver	Güler S,Güreşin A,Onbaşılar U,Şimşek T,Kaya Celik H,Utkan N,Canturk N Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study. Türkiye Diyabet ve Obezite Dergisi . 2022; 6(3): 208 - 214. 10.25048/tudod.1142865
IEEE	Güler S,Güreşin A,Onbaşılar U,Şimşek T,Kaya Celik H,Utkan N,Canturk N "Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study." Türkiye Diyabet ve Obezite Dergisi , 6, ss.208 - 214, 2022. 10.25048/tudod.1142865
ISNAD	Güler, Sertaç Ata vd. "Vitamin and Micronutrient Deficiency and Peripheral Polyneuropathy Following Intragastric Balloon Technique Used For Obese People: Preliminary Study". Türkiye Diyabet ve Obezite Dergisi 6/3 (2022), 208-214. https://doi.org/10.25048/tudod.1142865