Self-prescribed nutrition supplements for hair loss following laparoscopic sleeve gastrectomy bariatric surgery: extent of the problem in a cohort of Chinese patients

  • Sachin Bhagat PG Fellow
  • Haijun Guo Zhoupu Hospital, Shanghai, China
  • Radheshyam Gupta
  • Jiangfan Zhu East Hospital, Tongji University School of Medicine, Shanghai, China
  • Jay Narayan Shah Patan Academy of Health Sciences, Lalitpur, Nepal
Keywords: bariatric surgery, hair loss, laparoscopic sleeve gastrectomy LSG, obesity, nutrition supplements

Abstract

Introductions: Hair loss is common after bariatric surgery. This study analyzes the extent and risk factors of hair loss following laparoscopic sleeve gastrectomy (LSG), and satisfaction of self-prescribed supplements.

Methods: All patients of LSG bariatric surgery during June 2013 to August 2016 at Shanghai East Hospital affiliated to Tongji University, Shanghai, China were included in the study. Study variables were- age, gender, preoperative body mass index, hemoglobin, albumin, total cholesterol, iron, zinc, copper, folic acid, vitamin B12, vitamin D, and postoperative excess weight loss (% EWL), time and degree of hair loss, satisfaction of using supplements. Logistic regression was used to analyze risk factors for hair loss.

Results: Total of 86 patients underwent LSG. After exclusion data on 54 patients (M=11, F=43) were analyzed. Hair loss was reported by 42/54 (77.8%, M=6, F=36), starting at 3.43±1.36 months and ending at 8.59±3.38. All of 11 severe hair losses were in female. The female gender, preoperative serum folic acid, and %EWL were significant risk factors for hair loss. Hair regrowth was reported by 39/42 (92.86%). The 15 patients who used various self-prescribed iron and zinc supplements reported no satisfactory benefit.

Conclusions: Hair loss was seen in 3/4th of patents after LSG bariatric surgery. Self-prescribed nutrition supplements were used by 1/3 of patients without satisfaction. Female gender, preoperative serum folic acid, and %EWL were significant risk factors for hair loss.

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Author Biographies

Haijun Guo, Zhoupu Hospital, Shanghai, China

Prof, Dept. of Emergency Surgery

Radheshyam Gupta

PG Fellow

Jiangfan Zhu, East Hospital, Tongji University School of Medicine, Shanghai, China

Prof, Dept. of General Surgery, Bariatric and Metabolic Surgery

Jay Narayan Shah, Patan Academy of Health Sciences, Lalitpur, Nepal

Professor, Dept. of Surgery. Visiting Prof. School of Medicine, Jiaotong University, Shanghai, China.

Published
2018-12-30
How to Cite
Bhagat, S., Guo, H., Gupta, R., Zhu, J., & Shah, J. (2018). Self-prescribed nutrition supplements for hair loss following laparoscopic sleeve gastrectomy bariatric surgery: extent of the problem in a cohort of Chinese patients. Journal of Patan Academy of Health Sciences, 5(2), 27-34. https://doi.org/10.3126/jpahs.v5i2.23988
Section
General Section: Original Articles