Iron Supplementation for Acute Anemia After Postbariatric Abdominoplasty

Multicenter open randomized clinical trial with allocation ratio 1: 1. 56 adult patients undergoing post- bariatric abdominoplasty will be evaluated. The study group will receive 200 mg of intravenous iron in the immediate postoperative period and a second application on day 1 postoperatively. The control group will receive 100 mg of oral iron twice daily for 8 weeks. Haematological variables , iron 's profile , quality of life ( SF -36 and FACT- An) and adverse events will be assessed preoperatively and on the first , fourth and eighth weeks postoperatively .

Inclusion criteria

• Women
• 18 a 55 years
• Prior open or laparoscopic standard limb Roux and Y gastric bypass
• BMI < 32 kg/m2
• Stability of weight loss for at least 6 months
• grade 3 abdominal deformity on the Pittsburgh scale

Exclusion criteria

• Illiterate
• Current smoking
• Prior IV iron use in the last 3 months
• Uncontrolled systemic diseases
• Hemoglobin < 11 g/dL
• Ferritin <11 ng/mL
• Ferritin > 100 ng/mL
• transferrin saturation <16%
• transferrin saturation> 50%
• B12 < 210 pg/mL
• Folic Acid < 3.3 ng/mL
• Albumin < 2 g/dL
• C reactive protein> 5 mg/L
• Prior Anaphylactic reaction to IV iron