RT Journal Article
T1 [Moderate anaemia refractory to oral iron in a pregnant woman with a history of bariatric surgery].
T2 Anemia moderada refractaria al hierro oral en una gestante con antecedente de cirugía bariátrica.
A1 López Valverde, María Eugenia
A1 Jericó Alba, Carlos
A1 García Erce, José Antonio
K1 Cirugía bariátrica. Gestación. Anemia. Hierro intravenoso. Carboximaltosa férrica. Eritropoyetina.
AB Introduction: bariatric surgery involves nutritional and trace element deficiencies that may have a negative impact if not treated properly, especially in situations such as pregnancy. Case report: a patient who underwent biliopancreatic diversion surgery without subsequent therapeutic adherence consults due to edema; findings included 29-week gestation (type 1 intrauterine growth restriction) and moderate anemia. Vitamin supplementation, oligoelements, enteral nutrition, and intravenous iron were restarted. Due to poor hemoglobin response with repleted iron deposits, recombinant human erythropoietin was associated. Discussion: the most frequent nutritional deficiencies after malabsorptive bariatric surgery are sideropenia and hypoproteinemia. Sideropenia and anemia increase the risk of preterm delivery, low weight, and perinatal mortality. In patients with inadequate response to intravenous iron, treatment with recombinant human erythropoietin may be considered, although its use in pregnant women without chronic renal failure has no indication in the prescribing information of this drug.
YR 2020
FD 2020
LK http://hdl.handle.net/10668/16293
UL http://hdl.handle.net/10668/16293
LA es
DS RISalud
RD Apr 4, 2025