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Bariatric Surgery in the Management of Adolescent and Adult ObesePatients with Polycystic Ovarian Syndrome 减肥手术治疗青少年和成人多囊卵巢综合征肥胖患者
Pub Date : 2016-03-12 DOI: 10.4172/2165-7904.1000303
F. Abiad, H. Abbas, Caroline Hamadi, G. Ghazeeri
Polycystic ovarian syndrome (PCOS) is the most common endocrinopathy in women of reproductive age. Obesity in PCOS patients is associated with significant morbidities. Obesity in PCOS abrogates the menstrual cycle and fertility, and can independently increase the risk of metabolic syndrome and the latter’s long-term cardiac and health complications. The degree of obesity as reflected by the body mass index (BMI) can have a significant impact on the associated risk with its morbidities. Thus, weight reduction is highly encouraged for obese patients with PCOS as early as in adolescence to avoid long-term complications. Conservative methods of weight reduction, such as diet and lifestyle modifications, have been used in PCOS patients but their effects can be short-lived, especially in the morbidly obese populations. To that end, bariatric surgery has been proposed as an alternative modality for the treatment of obese patients with PCOS in order to decrease the risk of metabolic syndrome. Nevertheless, bariatric surgery utilization in the adolescent population of PCOS patients is still not well evaluated. Bariatric surgery is considered in patients with very high BMI levels and those patients who had multiple failed attempts of weight reduction using more conservative methods. In this review, we focused on the metabolic manifestations of PCOS and discussed studies highlighting the usage of bariatric surgery as an attempt to reduce weight in obese patients with PCOS with primary focus on the adolescent population.
多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病。多囊卵巢综合征患者的肥胖与显著的发病率相关。多囊卵巢综合征患者的肥胖影响了月经周期和生育能力,并可独立增加代谢综合征及其长期心脏和健康并发症的风险。体重指数(BMI)所反映的肥胖程度对其发病率的相关风险有重大影响。因此,高度鼓励肥胖多囊卵巢综合征患者在青春期早期减肥,以避免长期并发症。保守的减肥方法,如饮食和生活方式的改变,已被用于多囊卵巢综合征患者,但其效果可能是短暂的,特别是在病态肥胖人群中。为此,减肥手术被建议作为治疗肥胖多囊卵巢综合征患者的另一种方式,以降低代谢综合征的风险。然而,减肥手术在青少年多囊卵巢综合征患者中的应用仍未得到很好的评价。对于BMI指数非常高的患者和那些使用更保守的方法多次尝试减肥失败的患者,可以考虑进行减肥手术。在这篇综述中,我们主要关注多囊卵巢综合征的代谢表现,并讨论了主要针对青少年人群的肥胖多囊卵巢综合征患者使用减肥手术来减轻体重的研究。
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引用次数: 9
Early Adiposity Rebound and Small Dense Low-Density Lipoprotein in Childhood Obesity 儿童肥胖的早期肥胖反弹和小密度低密度脂蛋白
Pub Date : 2016-02-29 DOI: 10.4172/2165-7904.1000301
O. Arisaka, G. Ichikawa, Satomi Koyama, N. Shimura, G. Imataka, H. Kurosawa, A. Nitta
Aim: The adiposity rebound (AR) corresponds to the second rise in the body mass index (BMI) curve that occurs between ages 5 and 7 years. The goal of this study was to determine whether age at AR is related to the presence at 12 years old of small dense low-density lipoprotein (SDLDL), an atherogenic lipoprotein produced as a metabolic consequence of AR. Methods: A longitudinal population-based prospective study was performed in 215 children. Serial measurements of BMI were conducted at ages 1, 1.5, 2 and yearly thereafter until 12, based on which age at AR was calculated. The subjects were divided into 5 groups according to age at AR of ≤4, 5, 6, 7 and ≥8 years. Plasma lipids and SDLDL were measured at 12 years of age. SDLDL (LDL particle size <25.5 nm) was determined by nondenaturing 2-16% gradient gel electrophoresis. Results: The prevalences of SDLDL were 15.0% in children with age at AR ≤4 y, 8.1% in those with age at AR 5 y, and 0% in all other groups (AR at ≥6 years). An earlier AR was significantly associated with higher BMI, increased plasma triglyceride (p < 0.05), increased atherogenic index (p < 0.05), and decreased HDL-cholesterol (p < 0.05) at 12 years of age. Conclusion: Children with AR before 4 years old showed a high prevalence of atherogenic SDLDL, indicating a predisposition for future cardiovascular disease.
目的:肥胖反弹(AR)对应于身体质量指数(BMI)曲线的第二次上升,发生在5至7岁之间。本研究的目的是确定AR的年龄是否与12岁时小密度低密度脂蛋白(SDLDL)的存在有关,SDLDL是AR的代谢后果产生的一种致动脉粥样硬化脂蛋白。方法:在215名儿童中进行了一项基于人群的纵向前瞻性研究。在1岁、1.5岁、2岁时进行BMI的连续测量,此后每年进行一次,直到12岁,以此为基础计算AR年龄。按AR年龄≤4岁、5岁、6岁、7岁和≥8岁分为5组。12岁时测定血脂和SDLDL。采用非变性2-16%梯度凝胶电泳法测定SDLDL (LDL粒径<25.5 nm)。结果:SDLDL在AR≤4岁的儿童中患病率为15.0%,在AR 5岁的儿童中患病率为8.1%,在所有其他组(AR≥6岁)中患病率为0%。早期AR与12岁时较高的BMI、血浆甘油三酯升高(p < 0.05)、动脉粥样硬化指数升高(p < 0.05)和hdl -胆固醇降低(p < 0.05)显著相关。结论:4岁前AR患儿具有高发生率的致动脉粥样硬化性SDLDL,预示着未来心血管疾病的易感因素。
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引用次数: 2
Effects of Borax and Sleeve Gastrectomy on mRNA Expression of Antioxidant Genes in Substantia Nigra Tissue of Obese Rats 硼砂和袖胃切除术对肥胖大鼠黑质抗氧化基因mRNA表达的影响
Pub Date : 2016-02-29 DOI: 10.4172/2165-7904.1000302
İ. Gezgin, C. Ozic, A. M. Geyik, C. H. Yıldırım, Y. Ehi, Miktat Kaya, Filiz Susuz AlanyalÄ
Aim: To evaluate the effects of borax and sleeve gastrectomy on mRNA expression of antioxidant genes in substantia nigra tissue of obese rats. Methods: Obese rats were fed with a high-fat diet containing 40% additional fat to the diet. Rats were allocated into four groups in random, which were normal rats (Group I) (n=14), obese rats subjected to SG (Group II) (n=14), obese rats subjected to borax (Group III) (n=14), and obese rats subjected to SG and borax (Group IV) (n=14). Catalase, superoxide dismutase (SOD) and glutathione S-transferase (GST) gene expressions were determined by polymerase chain reaction, real-time polymerase chain reaction (RT-qPCR) and western blotting. Results: When normal rats (Group I), and obese rats subjected to SG (Group II) were compared, a decrease in expressions of catalase, SOD and GST genes was observed in Group II. When obese rats subjected to borax (Group III) were compared with Group I and Group II, a decrease in expressions of catalase, SOD and GST genes was observed in Group III. This phenomenon demonstrates that borax and SG both decrease expressions of catalase, SOD and GST genes. Furthermore, the most significant decrease in expressions of catalase, SOD and GST genes was observed in obese rats subjected to SG and borax (Group IV) when compared to other three study groups. Conclusion: The borax decreases molecular obesity and consequently increases the expressions of Catalase, SOD and GST genes. These data show decrease of Catalase, SOD and GST genes in the substantia nigra tissue of obese rats, consistent with the possibility that these changes may contribute to disease pathogenesis.
目的:探讨硼砂和套管胃切除术对肥胖大鼠黑质抗氧化基因mRNA表达的影响。方法:给肥胖大鼠喂食含40%脂肪的高脂饲料。将大鼠随机分为4组:正常大鼠(I组)(n=14)、SG组肥胖大鼠(II组)(n=14)、硼砂组肥胖大鼠(III组)(n=14)、SG +硼砂组肥胖大鼠(IV组)(n=14)。采用聚合酶链反应、实时聚合酶链反应(RT-qPCR)和western blotting检测过氧化氢酶、超氧化物歧化酶(SOD)和谷胱甘肽s -转移酶(GST)基因表达。结果:将正常大鼠(ⅰ组)与肥胖大鼠(ⅱ组)进行比较,ⅱ组过氧化氢酶、SOD、GST基因表达降低。与ⅰ组和ⅱ组比较,ⅲ组肥胖大鼠的过氧化氢酶、SOD和GST基因表达均有所降低。这一现象说明硼砂和SG均降低过氧化氢酶、SOD和GST基因的表达。此外,与其他三个研究组相比,SG和硼砂(IV组)组肥胖大鼠过氧化氢酶、SOD和GST基因的表达下降最为显著。结论:硼砂可降低分子肥胖,从而提高过氧化氢酶、SOD和GST基因的表达。这些数据显示肥胖大鼠黑质组织中过氧化氢酶、SOD和GST基因的减少,这些变化可能与疾病的发病机制有关。
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引用次数: 1
Gestational Weight Gain and Changes in Body Composition in PregnantWomen with BMI 25 Kg/m2 Undergoing a Healthy Lifestyle ProgramStarting Early in Pregnancy 体重指数为25kg /m2的孕妇在妊娠早期开始进行健康生活方式计划时,妊娠期体重增加和身体组成的变化
Pub Date : 2016-02-21 DOI: 10.4172/2165-7904.1000300
M. Malavolti, E. Petrella, Valentina Bertarini, Dietitian, Cristina Cicchetti, I. Neri, F. Facchinetti
Introduction: we evaluated the utility of bioimpedance analysis and the SenseWear armband for monitoring gestational weight gain (GWG) in overweight/obese pregnant women. Materials and methods: Sixty overweight/obese pregnant women were recruited and advised to follow a physical activity (PA) program (sessions gradually increasing to 30 minutes of mild physical activity intensity per day at least 4-5 days a week) with caloric restriction (1500 kcal/day + 200 kcal/day for obese and 300 kcal/day for overweight women). Weight, GWG and body composition were measured at enrollment (within the 12th week of gestation), at the 16th, 20th, 32nd, and 36th week, at delivery and 12 weeks after delivery using BIA. The patients were also instructed to wear the SWA, for 5 consecutive days, at enrollment, and at the 20th and 36th weeks of gestation. Results: GWG at delivery was 12.6 ± 5.4 kg for overweight, 9.0 ± 8.0 kg for obese women and 3.3 ± 5.3 kg for morbidly obese women. Nine overweight (60.0%), 22 obese (66.7%) and 10 morbidly obese (90.9%) women remained within the Institute of Medicine recommended ranges at delivery. Overall percentual body composition changed significantly throughout pregnancy, (fat-free mass: 53.4 ± 6.1 to 56.9 ± 6.5; FM = 40.9 ± 12.8 to 44.1 ± 11.8, p < 0.05). Logistic regression analysis showed that women who adhered to the prescribed diet achieved a lower GWG (CI 95% = -1.65-0.54; r = -1.10, p = 0.001). Conclusion: The efficacy of the intervention depends directly on the adherence to the prescribed diet and PA program
简介:我们评估了生物阻抗分析和SenseWear臂带在监测超重/肥胖孕妇妊娠期体重增加(GWG)方面的效用。材料和方法:招募了60名超重/肥胖孕妇,并建议她们遵循一项体育活动(PA)计划(每周至少4-5天,每天逐渐增加到30分钟的轻度体育活动强度),同时限制热量摄入(肥胖妇女1500千卡/天+ 200千卡/天,超重妇女300千卡/天)。在入组时(妊娠12周内)、分娩时、分娩后12周、分娩时、分娩后第16周、第20周、第32周、第36周、体重、GWG和体成分采用BIA测定。患者还被要求在入组时、妊娠第20周和第36周连续5天佩戴SWA。结果:超重妇女分娩时GWG为12.6±5.4 kg,肥胖妇女为9.0±8.0 kg,病态肥胖妇女为3.3±5.3 kg。9名超重(60.0%)、22名肥胖(66.7%)和10名病态肥胖(90.9%)的妇女在分娩时仍在医学研究所推荐的范围内。总体体成分百分比在整个怀孕期间发生了显著变化,无脂质量从53.4±6.1降至56.9±6.5;FM = 40.9±12.8 ~ 44.1±11.8,p < 0.05)。Logistic回归分析显示,坚持规定饮食的女性GWG较低(CI 95% = -1.65-0.54;R = -1.10, p = 0.001)。结论:干预的效果直接取决于患者是否遵守规定的饮食和PA方案
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引用次数: 5
Malnutrition in Hospitalized Children 住院儿童营养不良情况
Pub Date : 2016-02-19 DOI: 10.4172/2165-7904.1000299
Dura Trave T
The nutritional deterioration in hospitalized patients has been a subject of an extensive analysis, being associated to higher morbidity and mortality and, therefore, an increase in healthcare expenditure [14]. This eventuality has been widely debated at the highest administrative and political level, so making necessary the development of clinical guides and resolutions (from the Council of Europe) on feeding and nutritional care in hospitals [5-7].
住院患者的营养恶化一直是一个广泛分析的主题,与较高的发病率和死亡率有关,因此,医疗保健支出增加[14]。这种可能性在最高行政和政治层面受到广泛讨论,因此有必要制定关于医院喂养和营养护理的临床指南和决议(来自欧洲委员会)[5-7]。
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引用次数: 1
The Effect of Creatine Supplementation on Body Composition and Bone Health in the Elderly 补充肌酸对老年人身体成分和骨骼健康的影响
Pub Date : 2016-02-15 DOI: 10.4172/2165-7904.1000298
Anna L Moon, C. Cobbold
Introduction: Ageing is associated with body composition changes, including decreases in muscle mass and bone content and increases in fat mass. Creatine supplementation is associated with increases in lean Tissue mass in athletes, leading to increased strength and power. There has been recent interest in if creatine supplementation may have similar effects in older individuals, to offset the changes seen in body composition and increase quality of life. Aims: This review assesses the current literature on whether creatine supplementation in the presence or absence of resistance training improves body composition and bone health in older adults. Results: In terms of resistance training and creatine supplementation in Combination, there is evidence for increased lean body mass following long-term investigations, above that of resistance training with placebo. Studies without resistance training mostly use acute strategies of creatine supplementation and have produced conflicting reports on lean body mass. Body fat percentage does not seem to be altered by either resistance training or creatine supplementation. The literature on creatine supplementation’s effect on bone health is also inconclusive, with some reports showing significant increases in bone mineral density, whereas several others show no effect. Conclusions: Creatine supplementation in the elderly may lead to increased lean body mass, and increased bone strength; however these results are far from conclusive. Dosing and timing supplementation protocols between studies may be responsible for the different results and future studies should concentrate on determining if acute or chronic creatine supplementation has a more beneficial effect on body composition in the elderly.
导言:衰老与身体成分的变化有关,包括肌肉量和骨骼含量的减少以及脂肪量的增加。补充肌酸与运动员的瘦组织质量增加有关,从而增加力量和力量。最近,人们对补充肌酸是否对老年人有类似的影响感兴趣,以抵消身体成分的变化,提高生活质量。目的:本综述评估了目前关于在进行或不进行抗阻训练时补充肌酸是否能改善老年人身体成分和骨骼健康的文献。结果:在抗阻训练和补充肌酸的组合方面,有证据表明,在长期调查后,瘦体重增加,高于抗阻训练和安慰剂。没有抗阻训练的研究大多使用急性肌酸补充策略,并且在瘦体重方面产生了相互矛盾的报告。体脂率似乎不会因抗阻训练或补充肌酸而改变。关于补充肌酸对骨骼健康的影响的文献也没有定论,一些报告显示骨矿物质密度显著增加,而其他一些报告显示没有影响。结论:老年人补充肌酸可能导致瘦体重增加,骨强度增加;然而,这些结果远非结论性的。研究之间的剂量和补充时间方案可能导致不同的结果,未来的研究应集中于确定急性或慢性肌酸补充对老年人的身体成分更有益。
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引用次数: 0
Changes in the Anatomy and Physiology of the Distal Esophagus and Stomach after Sleeve Gastrectomy 袖式胃切除术后食管和胃远端解剖和生理的变化
Pub Date : 2016-01-24 DOI: 10.4172/2165-7904.1000297
A. Csendes, I. Braghetto
Aim: Sleeve gastrectomy is one of the most popular surgical procedures for patients with obesity. Its performance produces several pathophysiological changes at the esophago-gastric junction, gastric acid secretion, emptying and motility. Purpose: To review all pathophysiological changes of the distal esophagus and stomach after the resection of 80% of the stomach during sleeve gastrectomy. Material and Methods: Review of all publications concerning the measurements of lower esophageal sphincter after sleeve gastrectomy, as well as acid reflux, gastric motility and gastric emptying. Results: The section of some portion of the sling fibers produces dilatation of the cardia and development of pathologic acid reflux into the distal esophagus. The great majority of reports dealing with 24 h pH measurements or impedanciometry report severe acid and non-acid reflux. Gastric acid secretion is greatly diminished after sleeve gastrectomy in about 80% but the residual acid secretion is at least 20 times greater than after gastric bypass. Gastric motility and electric activity is also compromised due to resection of most of the fundus and the gastric pacemaker located at the greater curvature. As a consequence, gastric emptying of liquids and solids are greatly enhanced. Then a new swallow of food impacts against this elevated pressure which may overcome the hypotensive lower esophageal sphincter and pathologic reflux may occur into the esophagus. Conclusion: Sleeve gastrectomy is an operation which may produce severe pathologic reflux of acid, as
目的:袖式胃切除术是肥胖患者最常用的手术方法之一。它的作用在食管-胃交界、胃酸分泌、排空和运动等方面产生多种病理生理变化。目的:回顾袖胃切除术切除80%胃后食管和胃远端病理生理变化。材料和方法:回顾所有关于袖式胃切除术后食管下括约肌测量、胃酸反流、胃运动和胃排空的出版物。结果:部分悬吊纤维的切片导致贲门扩张,并形成病理性酸反流至食管远端。处理24小时pH值测量或阻抗测量的绝大多数报告报告严重的酸反流和非酸反流。袖式胃切除术后胃酸分泌明显减少约80%,但残余胃酸分泌比胃旁路术后至少多20倍。胃的运动和电活动也因切除大部分胃底和位于胃大弯的胃起搏器而受到损害。因此,胃排空液体和固体的能力大大增强。然后,新的食物吞咽对升高的压力产生影响,这可能会克服低血压的食管下括约肌,病理性反流可能会进入食管。结论:袖式胃切除术是一种可能产生严重病理性胃酸反流的手术
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引用次数: 18
Sleeve Gastrectomy Ameliorates Mrna Expression of MatrixMetalloprotease I, III, V, IL-1a and IL-6 Genes in Substantia Nigra Tissuesof Obese Rats 套管胃切除术改善肥胖大鼠黑质组织基质金属蛋白酶I、III、V、IL-1a和IL-6基因Mrna表达
Pub Date : 2016-01-15 DOI: 10.4172/2165-7904.1000294
İ. Gezgin, C. Ozic, Can Hakan Yıldırım, K. Kılıç, Y. Ehi, Miktat Kaya
Aim: To reveal metalloproteinase (MMP)-1, MMP-3, MMP-5, interleukin (IL)-1a and IL-6 gene expressions in substantia nigra region of brain in rats which undergone sleeve gastrectomy (SG) surgery. Methods: Rats were allocated into three groups in random, which were normal rats (Group I) (n=14), obese rats (Group II) (n=14), and obese rats subjected to SG (Group III) (n=14). MMP-1, MMP-3, MMP-5, IL-1a and IL-6 gene expressions were determined by polymerase chain reaction (PCR) and Real-time polymerase chain reaction (RTqPCR). Results: When normal (Group I), and obese (Group II) rats were compared, a decrease in expressions of MMP- 3 and IL-6 genes was observed in Group II. When obese rats (Group II) and obese rats subjected to SG (Group III) were compared, increases in the expressions of MMP-3 and IL-6 genes were observed in Group III. This phenomenon demonstrates that SG decreases obesity and consequently increases expressions of MMP-3 and IL-6 genes. Conclusion: These data show alterations of MMP-3 and IL-6 genes in the substantia nigra tissue of obese rats, consistent with the possibility that these changes may contribute to disease molecular background.
目的:探讨套袖胃切除术大鼠脑黑质区金属蛋白酶(MMP)-1、MMP-3、MMP-5、白细胞介素(IL)-1a、IL-6基因的表达。方法:将大鼠随机分为正常大鼠(I组)(n=14)、肥胖大鼠(II组)(n=14)和SG组肥胖大鼠(III组)(n=14)。采用聚合酶链式反应(PCR)和实时聚合酶链式反应(RTqPCR)检测MMP-1、MMP-3、MMP-5、IL-1a和IL-6基因的表达。结果:正常大鼠(I组)和肥胖大鼠(II组)比较,II组MMP- 3和IL-6基因表达降低。将肥胖大鼠(II组)与SG治疗肥胖大鼠(III组)进行比较,III组MMP-3和IL-6基因表达升高。这一现象说明SG可以减少肥胖,从而增加MMP-3和IL-6基因的表达。结论:这些数据显示肥胖大鼠黑质组织中MMP-3和IL-6基因的改变,这些改变可能与疾病分子背景有关。
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引用次数: 0
A Placebo-Controlled, Randomized Study on the Impact of Dietary Salmon Protein Hydrolysate Supplementation on Body Mass Index in Overweight Human Subjects 一项关于膳食中补充鲑鱼水解蛋白对超重人群体重指数影响的安慰剂对照、随机研究
Pub Date : 2016-01-15 DOI: 10.4172/2165-7904.1000296
B. Framroze, Sanjay Vekariya, Dhruv Swaroop
In the article, we show that a daily dietary intake of 16 g of salmon protein hydrolysate powder for 42 days statistically significantly reduced Body Mass Index by 5.6% in overweight subjects, in comparison with a placebo-control of whey protein isolate. Four metabolism-relevant serum biomarkers - bile acid, interleukin-6, Preheparin lipoprotein lipase mass and adiponectin - were also positively impacted using one-tailed, paired student t-test analysis, leading to the proposed metabolism-elevating mode-of-action. Exercise levels were maintained for each subject as per their normal levels. Further research will seek to identify the active individual peptide components from the salmon protein hydrolysate with specific biological activity for obesity control. Salmon protein hydrolysate powder in supplemental doses may be a useful tool in the long-term management of obesity.
在文章中,我们表明,与安慰剂对照乳清分离蛋白相比,每天摄入16克鲑鱼蛋白水解粉,持续42天,超重受试者的体重指数显著降低5.6%。四种与代谢相关的血清生物标志物——胆汁酸、白细胞介素-6、肝素前期脂蛋白脂肪酶质量和脂联素——也受到单侧配对学生t检验分析的积极影响,从而得出了代谢升高的作用模式。每个受试者的运动水平保持在正常水平。进一步的研究将寻求从鲑鱼蛋白水解物中确定具有特定生物活性的活性肽成分,以控制肥胖。补充剂量的鲑鱼蛋白水解粉可能是长期管理肥胖的有用工具。
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引用次数: 6
The Necessity of Preoperative Pulmonary Function Screening in PatientsScheduled for Bariatric Surgery 减肥手术患者术前肺功能筛查的必要性
Pub Date : 2016-01-08 DOI: 10.4172/2165-7904.1000295
S. Pouwels, M. Said, A. Celik
Obesity is an increasing problem worldwide and since the 1980’s the number of people with obesity has doubled [1]. The only treatment with longstanding effect is bariatric surgery [2]. With the increasing prevalence of obesity, the numbers of bariatric surgical procedures are also increasing [2]. Obesity is known to affect many organ systems under which the respiratory system. Various respiratory physiological parameters are affected, such as compliance, neuromuscular strength, work of breathing and lung volumes [3,4]. Because of these affected respiratory physiological parameters, obese patients are prone to develop pulmonary complications after bariatric surgery. Therefore the question rises whether we need to perform a preoperative pulmonary function screening in obese patients scheduled for bariatric surgery, to identify the patients prone for postoperative complications. Secondly, do we need to screen obese patients for the presence of Obstructive Sleep Apnoea Syndrome (OSAS)? [5,6] Because OSAS occurs frequently untreated and might lead to postoperative complications [7-10].
肥胖在世界范围内是一个日益严重的问题,自20世纪80年代以来,肥胖人数翻了一番。唯一长期有效的治疗方法是减肥手术。随着肥胖症的日益流行,减肥手术的数量也在增加。众所周知,肥胖会影响呼吸系统等许多器官系统。各种呼吸生理参数受到影响,如顺应性、神经肌肉力量、呼吸功和肺容量[3,4]。由于这些影响呼吸生理参数,肥胖患者在减肥手术后容易发生肺部并发症。因此,问题是我们是否需要对计划进行减肥手术的肥胖患者进行术前肺功能筛查,以确定易发生术后并发症的患者。其次,我们是否需要筛查肥胖患者是否存在阻塞性睡眠呼吸暂停综合征(OSAS)?[5,6]因为OSAS经常发生,未经治疗,可能导致术后并发症[7-10]。
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引用次数: 1
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Journal of obesity and weight loss therapy
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