The Skeletal Consequences of Bariatric Surgery.

Abstract:

PURPOSE OF REVIEW:This review outlines the recent findings regarding the impact of bariatric surgery on bone. It explores potential mechanisms for skeletal changes following bariatric surgery and strategies for management. RECENT FINDINGS:Bone loss following bariatric surgery is multifactorial. Probable mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Skeletal changes that occur after bariatric surgery are specific to procedure type and persist for several years post-operatively. Studies suggest that while bone loss begins early, fracture risk may be increased later in the post-operative course, particularly after Roux-en-Y gastric bypass (RYGB). Further research is needed to assess the extent to which skeletal changes following bariatric surgery result in fragility. Current management should be geared toward prevention of bone loss, correction of nutritional deficiencies, and incorporation of weight bearing exercise. Pharmacologic treatment should be considered for high-risk patients.

journal_name

Curr Osteoporos Rep

authors

Krez AN,Stein EM

doi

10.1007/s11914-020-00579-2

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

262-272

issue

3

eissn

1544-1873

issn

1544-2241

pii

10.1007/s11914-020-00579-2

journal_volume

18

pub_type

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