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Effects of bariatric surgery on bone
1Département des spécialités de médecine, service des maladies osseuses, hôpitaux universitaires, faculté de médecine de Genève, 4, rue Gabrielle-Perret-Gentil, 1205 Geneva, Switzerland.
Joint Bone Spine
|March 20, 2016
Summary
Bariatric surgery may impact bone density, but fracture risk appears similar to obese patients. Quantitative CT is more accurate than DXA for measuring bone mineral density post-surgery.
Area of Science:
- Endocrinology
- Orthopedics
- Metabolic Surgery
Background:
- Bariatric surgery combines restrictive and malabsorptive techniques.
- Early bone mineral density (BMD) decreases are noted post-surgery.
- Weight loss can affect BMD measurement accuracy.
Purpose of the Study:
- To evaluate bone mineral density (BMD) changes after bariatric surgery.
- To compare BMD measurement accuracy between DXA and QCT.
- To assess fracture incidence in bariatric surgery patients.
Main Methods:
- Utilized quantitative computed tomography (QCT) for BMD assessment.
- Monitored bone resorption markers and hormonal changes.
- Compared fracture rates with non-operated obese individuals.
Main Results:
- Quantitative CT (QCT) offers more reliable BMD measurements than DXA post-weight loss.
- Nutritional deficiencies and hormonal shifts correlate with increased bone resorption markers.
- Limited data suggest fracture incidence is not elevated compared to obese controls.
Conclusions:
- QCT is preferred for BMD monitoring after bariatric procedures.
- Bone metabolism is significantly altered by bariatric surgery.
- Current evidence does not indicate increased fracture risk post-bariatric surgery.
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