Evidence map›Paper›PMID 39247563›Full record

ArticleClinical case reports2024

Nyctalopia during pregnancy due to vitamin A deficiency after bariatric sleeve gastrectomy: A case report.

Eleftherios Anastasakis, Anastasios Anastasakis, Athina A Samara, Antonios Koutras, Zacharias Fasoulakis, Athanasios Zikopoulos, Chara Skentou, Sotirios Sotiriou

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eleftherios AnastasakisDepartment of Obstetrics and Gynecology Iaso Maternity Hospital Athens Greece.
Anastasios AnastasakisDepartment of Ophthalmology Athens Eye Hospital Athens Greece.
Athina A SamaraDepartment of Embryology, Faculty of Medicine University of Thessaly Larissa Greece.ORCID https://orcid.org/0000-0002-6177-7281
Antonios KoutrasDepartment of Obstetrics and Gynaecology Alexandra General Hospital Athens Greece.ORCID https://orcid.org/0000-0002-7229-9983
Zacharias FasoulakisDepartment of Obstetrics and Gynaecology Alexandra General Hospital Athens Greece.
Athanasios ZikopoulosDepartment of Obstetrics and Gynaecology Royal Cornwall Hospital Truro UK.
Chara SkentouDepartment of Obstetrics and Gynaecology, Medical School University of Ioannina Ioannina Greece.
Sotirios SotiriouDepartment of Embryology, Faculty of Medicine University of Thessaly Larissa Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: Herein, we report a rare case of nyctalopia diagnosed in the first trimester of pregnancy due to vitamin A deficiency as a result of a bariatric gastrectomy. Low serum vitamin A levels establish the diagnosis and the patient was treated with oral vitamin A supplements. Moreover, due to the teratogenic effects of exceed Vitamin A levels in early pregnancy, supplements' dosages should be prescribed with respect to the safe limits. Our case aims to highlight the importance of checking micronutricients and vitamins levels before and during pregnancy in women that had a previous bariatric surgery. Abstract: Vitamin A deficiency (VAD) has been identified as the predominant factor in the development of night blindness during pregnancy, a high-risk for morbidity situation. Herein, we report a rare case of nyctalopia diagnosed in the first trimester of pregnancy due to VAD as a result of a bariatric gastrectomy. Our case aims to highlight the importance of checking micronutricients and vitamins levels before and during pregnancy in women that had a previous bariatric surgery. Low serum vitamin A levels establish the diagnosis and the patient was treated with oral vitamin A supplements. An uneventful antenatal course resulted in the birth of a healthy live neonatal at 38 weeks of gestation. In conclusion, nyctalopia is a rare condition in pregnant women that is often caused by VAD that poses significant health risks for both the mother and the infant, especially in women with a history of gastrointestinal bypass surgery, or any factors leading to malnutrition. Clinicians have to be alerted for micronutrients deficient in pregnant women who have a bariatric operation in their medical history.

Indexed as

gastrectomymalabsorptionmorbid obesitynight visionvitamin A

Identifiers

PMID39247563
PMCPMC11377988

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.