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The Effects of Bariatric Surgery on Bone Metabolism
1Division of Endocrinology, Department of Medicine, New York Presbyterian Hospital, Weill Cornell Medical College, 211 East 80th Street, New York, NY 10075, USA.
Abstract:
Most metabolic effects following bariatric surgery are favorable. One area in which the consequences seem to be detrimental is on skeletal health. Mechanisms that have been cited include malabsorption of calcium and vitamin D, decrease in mechanical loading, and changes in gastrointestinal and fat-derived hormone levels. It is important that the impact of these procedures on bone metabolism is closely examined. The significance of the bone loss that occurs, and its possible effect on future fracture risk, should also be evaluated.
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