相关实验视频
Updated: May 31, 2025

05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
6.5K
肥胖青少年和年轻成年人进行袖子胃切除术的骨构成变化和代谢:系统性审查
Viorel Dejeu1, Paula Dejeu2, Anita Muresan3,4
1Bariatric Surgery Department, Life Memorial Hospital, Calea Grivitei 365, 010719 Bucuresti, Romania.
Journal of clinical medicine
|January 25, 2025
概括
袖子胃切除术 (SG) 对青少年的骨健康产生负面影响,减少骨矿物质密度和恶化骨结构. 骨髓脂肪组织和骨再吸收标记的增加表明需要监测和缓解策略.
科学领域:
- 内分泌学 在内分泌学.
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
背景情况:
- 袖子胃切除术 (SG) 是针对青少年肥胖症的越来越多的减肥手术.
- 它在关键发育时期对骨积累的长期影响需要彻底调查.
研究的目的:
- 系统地审查SG对青少年骨健康的影响.
- 评估骨矿物质密度 (BMD),微观结构,骨髓脂肪组织 (MAT) 和骨周转标记物的变化.
主要方法:
- 综合的文献搜索关于青少年GS和骨健康结果的研究.
- 包括9项研究 (队列,RCT) 与597名参与者 (13-25岁).
- 综合了关于骨质量,骨微架构,MAT和骨周转标记物的数据.
主要成果:
- SG显著降低了部部 (大腿部,全部) 的 BMD,降低了 -4.7%至 -8.9%.
- HRpQCT揭示了较差的骨微架构 (缩小椎数量,增加分离,皮层较薄).
- 观察到腰椎脊柱MAT增加和骨再吸收标志物 (CTX) 的升高.
结论:
- SG对青少年的骨健康产生不利影响,导致骨质量减少和微型结构恶化.
- 增加的MAT和再吸收标志物表明骨周转率增加和潜在的损失.
- 强调需要对青少年的骨健康进行警的监测和干预.
相关概念视频
Bone Disorders
3.4K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.4K
Changes in the Appendicular Skeleton with Age
1.8K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
1.8K
Bone Remodeling
38.1K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.1K
Skeleton and Calcium Homeostasis
4.4K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.4K
Hormones and Bone Tissue
2.6K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.6K
Osteoclasts in Bone Remodeling
2.8K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
2.8K

