Table 10.
Blood test | Vertical sleeve gastrectomy | Roux-en-Y gastric bypass Bilopancreatic diversion with duodenal switch |
Full blood count | At 3,6 and 12 months in the first year, annually thereafter | At 3,6 and 12 months in the first year, annually thereafter |
Urea and electrolytes | At 3,6 and 12 months in the first year, annually thereafter | At 3,6 and 12 months in the first year, annually thereafter |
Liver function | At 3,6 and 12 months in the first year, annually thereafter | At 3,6 and 12 months in the first year, annually thereafter |
Iron studies, Folate, Ca2+, Vit D, PTH | At 3,6 and 12 months in the first year, annually thereafter | At 3,6 and 12 months in the first year, annually thereafter |
Vitamin B12 | 6 monthly first year, annually thereafter. Consider sooner if anaemia or peripheral neuropathy No need to monitor if receiving intramuscular B12 injections |
6 and 12 months in first year, annually thereafter. Consider sooner if anaemia or peripheral neuropathy No need to monitor if receiving intramuscular B12 injections |
Zinc, copper | Not routinely | Annually. Consider sooner if unexplained anaemia, hair loss, change in taste acuity, poor wound healing |
Selenium | Not routinely | Not routinely. Consider if unexplained fatigue, anaemia, metabolic bone disease, diarrhoea, heart failure |
Vitamin A | Not routinely | Annually for BPD-DS. Consider in RYGB if steatorrhoea or night blindness |
Vitamin E, K | Not routinely | Not routinely. Consider if unexplained anaemia, peripheral neuropathy, coagulopathy |
BPD-DS, bilopancreatic diversion with duodenal switch; Ca2+, calcium; PTH, parathyroid hormone; RYGB, roux-en-Y gastric bypass; Vit D, vitamin D.