scholarly journals Efficacy of Long-Term Oral Vitamin B12 Supplementation after Total Gastrectomy: Results from a Prospective Study

2017 ◽  
Vol 25 (3) ◽  
pp. 117-122 ◽  
Author(s):  
Joana Moleiro ◽  
Susana Mão de Ferro ◽  
Sara Ferreira ◽  
Miguel Serrano ◽  
Margarida Silveira ◽  
...  
Keyword(s):  
Prospective Study ◽  
Vitamin B12 ◽  
Total Gastrectomy ◽  
Oral Vitamin ◽  
A Prospective Study ◽  
Vitamin B12 Supplementation

scholarly journals P-OGC11 Vitamin B12 supplementation post gastrectomy. A service audit in St. James’s hospital, Dublin

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Hugo Temperley ◽  
Cian Murray ◽  
James Carey ◽  
Jarlath Bolger ◽  
Narayanasamy Ravi ◽  
...  
Keyword(s):  
Vitamin B12 ◽  
Total Gastrectomy ◽  
Cell Mass ◽  
Subtotal Gastrectomy ◽  
Vitamin B12 Deficiency ◽  
Patient Understanding ◽  
Phone Calls ◽  
B12 Deficiency ◽  
Vitamin B12 Supplementation

Abstract Background Vitamin B12 deficiency is a well described complication post gastrectomy. It is caused by the loss of parietal cell mass leading to megaloblastic anaemia and possible long term neurological symptoms. Treatment can be with standardised replacement regimens or to monitor B12 levels and replace as required.  This study assesses patient understanding of and compliance with B12 supplementation guidelines post total and subtotal gastrectomy.  Methods 125 patients who underwent gastrectomy between 2010-2020 were available for study (86 total gastrectomies, 39 subtotal gastrectomies).  Patient data was collected by review of the hospital electronic records and individual phone calls. Patients were asked standardised questions to elicit knowledge of the importance of B12 supplementation and compliance with supplementation. Results 92% (79/86) of total gastrectomy patients reported compliance in regular parenteral B12 supplementation.  Compliance was significantly lower for subtotal gastrectomies  for checking and/or replacing their vitamin B12 at 53.8% (21/39) (p < 0.001). 62.6% of patients stated that they knew it was important to supplement B12 post gastrectomy.  37.8% of participants could explain why this was important and 14.8% had any knowledge of the complications of vitamin B12 deficiency. Patients who were compliant with B12 supplementation had an improved understanding of why supplementation was important compared to those who did not. Conclusions Regular monitoring and supplementation of vitamin B12 levels is important post gastrectomy.  This study demonstrates good compliance in those undergoing total gastrectomy.  Patient understanding correlates with compliance, suggesting that patient education and knowledge reinforcement may be key to compliance with vitamin B12 supplementation.

Treatment response and long-term outcomes in biliary ascariasis: A prospective study

2021 ◽  
Author(s):  
Partha Sarathi Patra ◽  
Abhishek Das ◽  
S.K. Mahiuddin Ahmed ◽  
Souveek Mitra ◽  
Gopal Krishna Dhali
Keyword(s):  
Prospective Study ◽  
Treatment Response ◽  
Long Term Outcomes ◽  
Biliary Ascariasis ◽  
A Prospective Study
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