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 Kelimeler

• 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 Kelimeler

• Obezite
• mide balonu
• yetersiz beslenme
• B vitamini eksikliği
• polinöropati

Kaynakça

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