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Kheirvari et al. Mini-invasive Surg 2021;5:40 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2021.66

Original Article Open Access

Hair loss in sleeve gastrectomy subjects: effects of

designed supplements for nutritional deficiencies

1
Milad Kheirvari , Taha Anbara 2
1
Microbiology Research Center, Pasteur Institute of Iran, Tehran PC 1316943551, Iran.
2
Department of Surgery, Erfan Niayesh Hospital, Tehran PC 1476919491, Iran.
Correspondence to: Dr. Taha Anbara, Department of Surgery, Erfan Niayesh Hospital, No. 17, Bahar Intersection, Imam Hossein
St., after Kabiri Tameh Blvd., Niayesh Gharb Highway, Tehran PC 1476919491, Iran. E-mail: drtahaanbara@dranbara.com

How to cite this article: Kheirvari M, Anbara T. Hair loss in sleeve gastrectomy subjects: effects of designed supplements for
nutritional deficiencies. Mini-invasive Surg 2021;5:40. https://dx.doi.org/10.20517/2574-1225.2021.66

Received: 11 May 2021 First Decision: 15 Jun 2021 Revised: 23 Jun 2021 Accepted: 27 Jul 2021 First online: 3 Aug 2021

Academic Editor: Giulio Belli Copy Editor: Xi-Jun Chen Production Editor: Xi-Jun Chen

Abstract
Aim: Hair loss is a common complication after bariatric surgery that is related to nutritional deficiencies. The aim of
this study was to evaluate the prevalence of micronutrient deficiencies preoperative and postoperative and their
relationship with hair loss 12 months after bariatric surgery (BS) in those younger and older than 45 years of age,
with or without a prescription for supplements.

Methods: In this prospective study, performed between 2018 and 2020 on patients undergoing laparoscopic
sleeve gastrectomy (LSG) (not generally BS) in our hospital, the patients were categorized into two main groups of
with or without a prescription for supplements. In addition, each main group was divided into age subgroups. Then,
complete clinical and biological nutritional assessments were performed in these four subgroups, before and after
surgery. Hair loss related to nutritional deficiencies were systematically recorded at 12 months after LSG.

Results: In total, 1224 patients undergoing LSG were enrolled into the study. Nutritional deficits in some variables
were even tripled after LSG in both the younger and older groups without a prescription for supplements. In the
group with a prescription for supplements, nutritional deficiencies declined postoperatively. The postoperative
deficits in the group without a prescription for supplements were frequently in iron (41.83% for younger group;
44.44% for older group) and zinc (42.15% for younger group; 43.79% for older group). In the group with a
prescription for supplements, hair loss was less common than in the group without a prescription for supplements
postoperatively.

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made.

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