铜缺乏症:在MBS-A系统审查和元分析后经常被忽视的并发症
Bangrong Xu1, Taifu Xiao2, Jinze Li3
1Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, PR China. drbangrongxu@163.com.
Obesity surgery
|January 4, 2025
概括
在代谢和减肥手术 (MBS) 后,铜缺乏是常见的,影响到28%的患者. 定期监测和干预对于MBS程序后的长期健康结果至关重要.
科学领域:
- 营养科学 营养科学
- 胃肠病学 胃肠病学
- 内分泌学 在内分泌学.
背景情况:
- 代谢和减肥手术 (MBS) 越来越多地用于肥胖管理.
- 营养缺乏,包括铜 (Cu) 缺乏,是MBS的潜在长期并发症.
- 了解MBS后缺乏症的患病率和结果对于患者护理至关重要.
研究的目的:
- 对接受MBS的患者中铜缺乏症的流行情况进行审查.
- 评估MBS后与铜缺乏相关的长期结果.
- 为了确定与较高的缺乏率相关的风险因素和特定的外科手术程序.
主要方法:
- 在PubMed,Web of Science和Scopus的系统文献搜索,截至2024年8月31日.
- 对43项研究的元分析,其中包括49名接受MBS的肥胖患者.
- PRISMA查方法用于研究选择.
主要成果:
- 在MBS后,铜缺乏的患病率在1年后为16%,在2年后达到28%,并在4年后恢复到16%.
- 与其他MBS手术相比,在经过胆囊腺转移 (BPD) 的患者中,低血 (低铜水平) 更为普遍.
- 该研究强调,在各种MBS类型之后,铜缺乏症的长期流行率显著.
结论:
- 铜缺乏是代谢和减肥手术后经常出现的并发症.
- 胆腺转移手术与更高的铜缺乏症风险有关.
- 术后营养监测和有针对性的干预措施对于MBS患者至关重要.
相关概念视频
Chronic Bowel Disorders: Introduction
386
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
386
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
48
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
48
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70
Inflammatory Bowel Disease I: Ulcerative Colitis
135
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
135
Appendicitis-II: Diagnostic Studies and Management
64
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
64
Peptic Ulcer Disease V: Surgical Management and Nursing Care
224
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
224


