Skip to main navigation menu Skip to main content Skip to site footer

Mini Review

Vol. 3 No. 1 (2025): January/December - 2025

Telogen Effluvium in Patients After Bariatric Surgery: A Scoping Review

DOI
https://doi.org/10.52600/2965-0968.bjcmr.2025.3.1.bjcmr9
Submitted
May 3, 2024
Published
2024-07-24

Abstract

Telogen Effluvium (TE) is excessive hair loss caused by the premature transition of follicles to the resting phase. After bariatric surgery, especially in women, hair loss is associated with nutrient deficiencies, although the exact cause is still uncertain. A structured review, following PRISMA-ScR, was conducted in July 2023 to evaluate the prevalence of telogen effluvium after bariatric surgery, using data from PubMed, BVS, and Scielo. After bariatric surgery, hair loss is linked to nutritional deficiencies (zinc, iron, proteins, vitamin B12, and folic acid) and rapid weight loss. The surgery affects nutrient absorption, making it essential to monitor and address the nutritional needs of patients. Hair loss after bariatric surgery is common, especially in women between the third and sixth months, due to nutritional deficiencies, stress, and restrictive diets. Supplementation with zinc, vitamins C and D, as well as medications, can help. The study highlights the relationship between vitamin deficiencies (such as zinc, iron, and vitamin B12) and telogen effluvium after bariatric surgery. However, it notes the need for more studies, including randomized research. This underscores the importance of monitoring and treating these deficiencies in post-bariatric surgery patients.

References

  1. Headington JT. Telogen effluvium. New concepts and review. Arch Dermatol. 1993 Mar;129(3):356-363. doi: 10.1001/archderm.129.3.356.
  2. Halawi A, Abiad F, Abbas O. Bariatric surgery and its effects on the skin and skin diseases. Obes Surg. 2013 Mar;23(3):408-413. doi: 10.1007/s11695-012-0859-x.
  3. Asghar F, Shamim N, Farooque U, Sheikh H, Aqeel R. Telogen Effluvium: A Review of the Literature. Cureus. 2020 May;12(5). doi: 10.7759/cureus.8320.
  4. Rebora A. Telogen effluvium: a comprehensive review. Clin Cosmet Investig Dermatol. 2019 Aug;12:583-590. doi: 10.2147/CCID.S200471.
  5. Şen O, Türkçapar AG. Hair Loss After Sleeve Gastrectomy and Effect of Biotin Supplements. J Laparoendosc Adv Surg Tech A. 2021 Mar;31(3):296-300. doi: 10.1089/lap.2020.0468.
  6. Braghetto I, Korn O, Burgos A, Figueroa M. When should be converted laparoscopic sleeve gastrectomy to laparoscopic Roux-en-Y gastric bypass due to gastroesophageal reflux? ABCD, arq bras cir dig [Internet]. 2020;33(4). doi: 10.1590/0102-672020200004e1553.
  7. Sherf Dagan S, Keidar A, Raziel A, Sakran N, Goitein D, Shibolet O, Zelber-Sagi S. Do Bariatric Patients Follow Dietary and Lifestyle Recommendations during the First Postoperative Year? Obes Surg. 2017 Sep;27(9):2258-2271. doi: 10.1007/s11695-017-2633-6.
  8. Barros LM, Frota NM, Moreira RA, de Araújo TM, Caetano JÁ. Evaluation of the results of bariatric surgery. Rev Gaucha Enferm. 2015 Mar;36(1):21-27. doi: 10.1590/1983-1447.2015.01.47694.
  9. Silva PRB, Souza MR, Silva EM, Silva SA. Nutritional status and life quality in patients undergoing bariatric surgery. ABCD, arq bras cir dig [Internet]. 2014;27:35-38. doi: 10.1590/S0102-6720201400S100009.
  10. Ledoux S, Flamant M, Calabrese D, Bogard C, Sami O, Coupaye M. What Are the Micronutrient Deficiencies Responsible for the Most Common Nutritional Symptoms After Bariatric Surgery? Obes Surg. 2020 May;30(5):1891-1897. doi: 10.1007/s11695-020-04412-8.
  11. Katsogridaki G, Tzovaras G, Sioka E, Perivoliotis K, Zachari E, Magouliotis D, Tasiopoulou V, Chatedaki C, Zacharoulis D. Hair Loss After Laparoscopic Sleeve Gastrectomy. Obes Surg. 2018 Dec;28(12):3929-3934. doi: 10.1007/s11695-2018-3433-3.
  12. Almohanna HM, Ahmed AA, Tsatalis JP, Tosti A. The Role of Vitamins and Minerals in Hair Loss: A Review. Dermatol Ther (Heidelb). 2019 Mar;9(1):51-70. doi: 10.1007/s13555-018-0278-6.
  13. Caron M, Hould FS, Lescelleur O, Marceau S, Lebel S, Julien F, Simard S, Biertho L. Long-term nutritional impact of sleeve gastrectomy. Surg Obes Relat Dis. 2017 Oct;13(10):1664-1673. doi: 10.1016/j.soard.2017.07.019.
  14. Folope V, Coëffier M, Déchelotte P. Nutritional deficiencies associated with bariatric surgery. Gastroenterol Clin Biol. 2007 Apr;31(4):369-377. doi: 10.1016/S0399-8320(07)89395-X.
  15. Gasmi A, Bjørklund G, Mujawdiya PK, Semenova Y, Peana M, Dosa A, Piscopo S, Gasmi Benahmed A, Costea DO. Micronu-trients deficiencies in patients after bariatric surgery. Eur J Nutr. 2022 Feb;61(1):55-67. doi: 10.1007/s00394-021-02619-8.
  16. Ledoux S, Calabrese D, Bogard C, Dupré T, Castel B, Msika S, Larger E, Coupaye M. Long-term evolution of nutritional deficiencies after gastric bypass: an assessment according to compliance to medical care. Ann Surg. 2014 Jun;259(6):1104-1110. doi: 10.1097/SLA.0000000000000249.
  17. Lupoli R, Lembo E, Saldalamacchia G, Avola CK, Angrisani L, Capaldo B. Bariatric surgery and long-term nutritional issues. World J Diabetes. 2017 Nov 15;8(11):464-474. doi: 10.4239/wjd.v8.i11.464.
  18. Zhang W, Fan M, Wang C, Mahawar K, Parmar C, Chen W, Yang W, Global Bariatric Research Collaborative. Hair Loss After Metabolic and Bariatric Surgery: a Systematic Review and Meta-analysis. Obes Surg. 2021 Jun;31(6):2649-2659. doi: 10.1007/s11695-021-05311-2.
  19. Itthipanichpong Y, Damkerngsuntorn W, Tangkijngamvong N, Udomsawaengsup S, Boonchayaanant P, Kumtornrut C, Kerr SJ, Asawanonda P, Rerknimitr P. Skin manifestations after bariatric surgery. BMC Dermatol. 2020 Dec 9;20(1):21. doi: 10.1186/s12895-020-00120-z.
  20. Cohen-Kurzrock RA, Cohen P. Bariatric Surgery-Induced Telogen Effluvium (Bar SITE): Case Report and a Review of Hair Loss Following Weight Loss Surgery. Cureus. 2021 Apr;13(4). doi: 10.7759/cureus.14617.
  21. Dos Santos TD, Burgos MG, de Lemos Mda C, Cabral PC. Clinical and Nutritional Aspects in Obese Women During the First Year After Roux-en-Y Gastric Bypass. Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):56-60. doi: 10.1590/S0102-6720201500S100016.
  22. Mahawar KK, Bhasker AG, Bindal V, Graham Y, Dudeja U, Lakdawala M, Small PK. Zinc Deficiency after Gastric Bypass for Morbid Obesity: a Systematic Review. Obes Surg. 2017 Feb;27(2):522-529. doi: 10.1007/s11695-016-2474-8.
  23. Pedrosa IV, et al. Nutritional Aspects in Obese Patients Before and After Bariatric Surgery. Rev Col Bras Cir. 2009;36(4):316-322. doi: 10.1590/S0100-69912009000400008.
  24. Ruíz-Tovar J, Oller I, Llavero C, Zubiaga L, Diez M, Arroyo A, Calero A, Calpena R. Hair loss in females after sleeve gas-trectomy: predictive value of serum zinc and iron levels. Am Surg. 2014 May;80(5):466-471.

Most read articles by the same author(s)