肥胖症减肥手术:代谢质量分析和手术选择的比较
Atilla Engin1,2
1Faculty of Medicine, Department of General Surgery, Gazi University, Besevler, Ankara, Turkey. dr.aengin@gmail.com.
Advances in experimental medicine and biology
|September 17, 2024
概括
减肥手术 (BS) 在保守方法失败时,为肥胖患者提供了显著的体重减轻. 然而,由于潜在的重量增加,营养缺乏和心理方面的恶化,长期的成功仍在争论中.
科学领域:
- 代谢和腹部手术 代谢和腹部手术
- 肥胖医学 肥胖医学
- 外科胃肠道外科手术
背景情况:
- 肥胖是一个日益严重的全球健康问题,影响生活质量和寿命.
- 减肥手术 (BS) 是一种治疗肥胖的选择,当保守的方法是无效的.
- 虽然BS实现了显著的体重减轻,但其长期疗效和全面的患者结果需要仔细审查.
研究的目的:
- 评估肥胖症减肥手术的长期有效性和潜在缺点.
- 将减肥手术结果与多学科计划进行比较.
- 为了分析体重变化,骨质量,营养状况和腹部外科手术后的心理影响.
主要方法:
- 对多学科计划与减肥 bariatric 手术进行比较分析.
- 对减肥手术患者的长期随访数据的审查.
- 评估重量恢复,骨密度,营养缺乏和心理健康.
主要成果:
- 与非手术方法相比,腹部外科手术会导致显著而持久的减肥.
- 观察到高长期失败率,显著的百分比需要修复手术.
- 长期随访显示,50%的患者体重恢复,高达90%的患者骨质减少和营养缺乏,一些患者心理状况恶化.
- 近20%的术后患者表现出"失去饮食控制"并符合食物成标准.
结论:
- 减肥手术是有效的初始减肥和改善代谢并发病症.
- 长期的结果是复杂的,重量恢复,营养问题和心理挑战的风险很大.
- 减肥手术的整体好处,考虑到肥胖的炎症和代谢特征,仍然是持续辩论的主题.
关键词:
亚迪波尼克丁氨酸是什么贫血 贫血 是一种疾病.阿佩林 (Apelin) 是一个上诉机构.腹部外科手术是什么意思在C-反应性蛋白质中.内皮氧化合成酶 (eNOS) 的作用格林林 (Ghrelin) 是一种激素.葡萄糖氨酸 (Glutathione) 是一种同类半氨酸同类半氨酸.可以诱导的氧化合成酶 (iNOS)胰岛素耐药性 胰岛素耐药性是一种介质素-6 (IL-6) 介质素-6 (IL-6) 介质素-6 (IL-6) 介质素-6 (IL-6) 介质素-6 (IL-6) 介质素-6) 介质素-6 (IL-6) 介质素-6 (IL-6) 介质素-6) 介质素-6 (IL-6)勒普丁是一种激素.Lysyl 氧化酶 (LOX) 是一种酶.肥胖问题 肥胖问题氧化应激是一种氧化应激.没有抵抗力.视网醇结合蛋白-4 (RBP4) 是一种在Roux-en-Y的胃旁路术中.袖子胃切除术是什么意思总氨酸 (tCys) 的总量三甲酸甘油三甲酸甘油是什么瓦斯·瓦斯宾 (Vaspin Vaspin) 是一个在Visfatin中看到.减肥的方法 减肥的方法 减肥的方法
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