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Is Transdermal Multivitamin Patch Effective in Gastric Bypass Patients?
Shireesh Saurabh1, Yubo Gao2, Sara Maduka3
1General / Bariatric Surgery, Mercy Hospital, 540 East-Jefferson Street, Suite 205, Iowa City, IA, 52245, USA. shireesh22@gmail.com.
Obesity Surgery
|July 15, 2019
Summary
Transdermal multivitamin patches are not effective for bariatric patients after gastric bypass surgery. Oral supplements are more effective in preventing vitamin deficiencies, particularly Vitamin D, in these patients.
Area of Science:
- Bariatric Surgery
- Nutritional Science
- Clinical Nutrition
Background:
- Laparoscopic Roux-en-Y gastric bypass (LRYGB) necessitates daily oral vitamin supplements.
- Transdermal multivitamin patches are marketed as an alternative without efficacy data.
- Efficacy of transdermal patches versus oral supplements in bariatric patients is unknown.
Purpose of the Study:
- To assess the effectiveness of daily transdermal multivitamin patch use post-LRYGB.
- To compare patch efficacy against oral supplements in bariatric patients.
Main Methods:
- Retrospective review of LRYGB patients from February 2015 to February 2019.
- Inclusion of patients with preoperative and annual postoperative lab tests.
- Division into transdermal patch and oral pill (control) groups.
Main Results:
- Higher deficiency rates in the patch group (82.35%) versus the pill group (40.74%).
- Significantly higher Vitamin D deficiency in the patch group (81%) compared to the pill group (36%).
- Lower serum concentrations of vitamins D, B1, and B12 observed in the patch group.
Conclusions:
- Transdermal multivitamin patch users exhibit increased risk of vitamin deficiencies.
- Lower serum vitamin levels are associated with patch use post-LRYGB.
- Further research is required to validate multivitamin patch efficacy in bariatric populations.
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