International Journal of Advanced Academic Studies International, Peer reviewed, Refereed, Open access, Multidisciplinary Journal

2024, Vol. 6, Issue 10, Part A


Iron deficiency anemia in post-bariatric surgery patients: A retrospective study at Baghdad teaching hospital, 2024


Author(s): Shaymaa Talal Abdul Razzaq, Bassam Francis Matti and Besmah Mohammed Ali Ibrahim

Abstract: Background: Iron deficiency anemia (IDA) is a common complication among bariatric surgery patients, attributed to changes in digestion and absorption. With the rising rates of obesity and bariatric procedures, evaluating IDA prevalence and identifying risk factors are crucial for optimizing management strategies.
Methodology: This retrospective cohort study, conducted at Baghdad Teaching Hospital's gastrointestinal clinic from January 15 to June 15, 2024, assessed IDA in adults post-bariatric surgery. The study included 60 patients with comprehensive pre- and post-surgery records who had undergone sleeve gastrectomy, Roux-en-Y gastric bypass, or duodenal switch procedures between 6 months and 5 years prior. Data were collected through interviews and medical record reviews, covering demographics, surgery type, comorbidities, and iron levels. Statistical analysis was performed using SPSS, with a significance level set at p<0.05.
Results: The study involved 60 participants, predominantly female (66.7%), with a mean age of 36 years, where most resided in urban areas (90%) and were married (66.7%). A significant portion of participants were obese (average BMI 38.6), with 73.3% reporting no comorbidities. Postoperative outcomes revealed that 86.7% underwent sleeve gastrectomy, with an average weight loss of 23.3 kg. Notably, 53.3% developed postoperative anemia, significantly associated with preoperative anemia and education level (P = 0.001). Laboratory results showed a marked decline in hemoglobin and iron levels post-surgery, indicating the need for careful monitoring and possible intervention for anemia management.
Conclusions: The study indicated that more than half of the patients has postoperative anemia in bariatric surgery patients, with preoperative anemia as a significant predictor. Post-surgery, significant reductions in hemoglobin, mean corpuscular volume, and serum iron levels were evident. While educational level and BMI were linked to anemia, surgery type and diet adherence were not. Continuous monitoring and personalized nutritional interventions are essential.


DOI: 10.33545/27068919.2024.v6.i10a.1284

Pages: 40-45 | Views: 41 | Downloads: 13

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International Journal of Advanced Academic Studies
How to cite this article:
Shaymaa Talal Abdul Razzaq, Bassam Francis Matti, Besmah Mohammed Ali Ibrahim. Iron deficiency anemia in post-bariatric surgery patients: A retrospective study at Baghdad teaching hospital, 2024. Int J Adv Acad Stud 2024;6(10):40-45. DOI: 10.33545/27068919.2024.v6.i10a.1284
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