Bariatric Surgery Clinical Trial
Introduction: There are indications that the absorption of oral iron supplementation is
reduced after a Roux- en -Y gastric bypass. Nevertheless, oral preparations are used as
standard therapy for iron deficiency, even in patients who underwent a Roux- en -Y gastric
bypass. Our goal is to evaluate if iron absorption is disturbed after a RYGB, which leads to
a insufficient treatment of oral iron suppletion.
Methods: an iron absorption test will be performed pre- and postoperatively in 24 patients.
Two groups will be created.
Preoperatively group 1 receives a daily dose of ferrous fumarate (600mg) and group 2 receives
a daily dose Losferron (1390mg).
Before intake of the medicines, a fasting blood sample is taken (baseline), serum iron
including ferritin, transferrin and transferrin saturation will be measured. After intake of
losferron/ferrous fumarate blood samples will be taken 1, 2, 3, 4, 5 and 6 hours after
intake, using a drip. An increase of 80 microgram/l is representative for a sufficient iron
absorption. All patients undergo a Roux- en -Y gastric bypass.
Postoperatively; one month postoperatively the same absorption test will be repeated in the
same patients.
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