[Body weight and bone/calcium metabolism. Response of bone metabolism after bariatric surgery.].

While bariatric surgery is an effective treatment for severe obesity, these procedures may have unfavorable effects on bone and mineral metabolism. The most pronounced abnormalities are disorders of calcium/vitamin D metabolism, bone loss, as well as increased risk of bone fracture. These changes that occur after surgery vary by procedure type. Proposed mechanisms include skeletal unloading, malabsorption, secondary hyperparathyroidism and changes in gut hormones. This review explores bone response to bariatric surgery, potential mechanisms for these changes.