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Postoperative Nutrition and Nutritional Complications in Patients with Bariatric Surgery: An Update 减肥手术患者的术后营养和营养并发症:最新进展
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2021-84450
Havva Sezer, D. Yazıcı
Introduction Therapeutic options for obesity have trended toward bariatric surgeries in recent decades. Bariatric surgery involves different procedures that can be restrictive, malabsorptive, or a combination of both. Malabsorptive procedures lead to weight loss by intestinal segment bypass that reduces food absorption. Restrictive procedures lead to weight loss by restricting food intake (1). Restrictive procedures include laparoscopic sleeve gastrectomy (LSG), laparoscopic adjustable gastric banding (LAGB), and vertical band gastroplasty. Malabsorptive procedures inBariatric surgery is the most effective therapeutic option for long-term weight loss among patients with morbid obesity. Nutrition after bariatric surgery is a very specialized condition. The most severe complications that can develop after bariatric surgery are nutritional deficiencies and the diseases related to them, such as anemia and osteoporosis. Screening associated with nutritional deficiencies should be performed preoperatively to optimize the postoperative outcomes and the nutritional status of patients. Bariatric surgeries such as Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD-DS) reduce nutrient absorption. Moreover, bariatric surgery can exacerbate preexisting nutritional deficiencies. Patients who have undergone bariatric surgery should be followed up for common micronutrient deficiencies and protein-calorie malnutrition. There are gaps in the postoperative follow-up of these patients. This review aimed to focus on the postoperative nutritional strategies and nutritional complications in patients who have undergone bariatric surgery.
近几十年来,肥胖的治疗选择趋向于减肥手术。减肥手术包括不同的程序,可以是限制性的,吸收不良的,或两者的结合。吸收不良的手术通过肠段旁路导致体重减轻,从而减少食物吸收。限制性手术通过限制食物摄入导致体重减轻(1)。限制性手术包括腹腔镜袖胃切除术(LSG)、腹腔镜可调节胃束带(LAGB)和垂直胃束带成形术。减肥手术中的吸收不良手术是病态肥胖患者长期减肥最有效的治疗选择。减肥手术后的营养是一个非常专业的情况。减肥手术后最严重的并发症是营养缺乏和与之相关的疾病,如贫血和骨质疏松症。术前应进行与营养缺乏相关的筛查,以优化患者的术后结果和营养状况。减肥手术如Roux-en-Y胃旁路术(RYGB)和十二指肠开关胆胰分流术(BPD-DS)会减少营养吸收。此外,减肥手术可能会加剧先前存在的营养不足。接受减肥手术的患者应随访常见微量营养素缺乏和蛋白质-热量营养不良。这些患者的术后随访存在空白。本综述旨在关注减肥手术患者的术后营养策略和营养并发症。
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引用次数: 0
Determination of Serum Thyroid Hormones and Electrolytes in Hypothyroid and Hyperthyroid Females-A Case Control Study in Lahore, Pakistan 巴基斯坦拉合尔地区甲状腺功能低下和甲状腺功能亢进女性血清甲状腺激素和电解质的测定——病例对照研究
Pub Date : 1900-01-01 DOI: 10.25179/TJEM.2018-63502
Bushra Mubarak, S. Ashraf, Raheela Aslam
®Copyright 2019 by Turkish Journal of Endocrinology and Metabolism Association Turkish Journal of Endocrinology and Metabolism published by Türkiye Klinikleri Determination of Serum Thyroid Hormones and Electrolytes in Hypothyroid and Hyperthyroid Females-A Case Control Study in Lahore, Pakistan Hipotiroid ve Hipertiroid Kadınlarda Serum Tiroid Hormonları ve Elektrolitlerinin Belirlenmesi-Lahor, Pakistan'da Bir Vaka Kontrol Çalışması
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引用次数: 2
Overlapping Between Thymus Neuroendocrine Carcinoma as an Ectopic Cushing Syndrome and Exogenous Cushing’s Syndrome: A Case Report 胸腺神经内分泌癌异位库欣综合征与外源性库欣综合征重叠1例
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2017-56498
E. Faraji, Sepideh Tahsini Tekantapeh
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引用次数: 2
Top 100 Cited Articles in Thyroid Cancer: A Bibliometric Analysis 甲状腺癌前100篇被引文章:文献计量分析
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2021-84035
V. B. Turhan, A. Ünsal
Objective: To identify and analyze the 100 most cited articles on thyroid cancer since 1975, thus, allowing their easy access for researchers in this field. Material and Methods: This study is a bibliometric analysis of research publications acquired from the Web of Science database. We evaluated the first 100 articles receiving the most citations in the field of thyroid cancer since 1975. Then, all research publications were compiled using journal information into different categories based on the study type, country, research centers, authors, and publication dates. All data were reported as percentages, numbers, and graphs. Results: In this study, we listed 8,608 full-length English-language articles. Our findings showed that the most cited article received 4,325 citations to date, while the Journal of Clinical Endocrinology Metabolism, a Thyroid journal, received the most number of citations (n:6531), publishing seventeen of the articles from our study. Also, thirty-two articles were from the field of oncology. The country with the most number of publications was the United States of America (n=70) in the years 2005, 2008, and 2009 (n=8). Conclusion: It is essential to acknowledge the top-cited articles in thyroid cancer since they contain essential information, research, and advances in its treatment. Our analysis of the first 100 articles included the most important papers with the most significant impact on thyroid cancer research. In our list, we acknowledged the most productive authors and institutions along with their research articles.
目的:对1975年以来被引次数最多的100篇关于甲状腺癌的文章进行识别和分析,为该领域的研究人员提供参考。材料和方法:本研究是对从Web of Science数据库获得的研究出版物进行文献计量学分析。我们评估了1975年以来在甲状腺癌领域中被引用最多的前100篇文章。然后,根据研究类型、国家、研究中心、作者和出版日期,利用期刊信息对所有研究出版物进行分类。所有数据均以百分比、数字和图表形式报告。结果:在本研究中,我们列出了8608篇完整的英文文章。我们的研究结果显示,迄今为止,被引用次数最多的文章被引用了4,325次,而被引用次数最多的是甲状腺杂志Journal of Clinical Endocrinology Metabolism (n:6531),发表了17篇来自我们研究的文章。此外,32篇文章来自肿瘤学领域。2005年、2008年和2009年发表论文最多的国家是美国(n=70) (n=8)。结论:了解被引用次数最多的甲状腺癌相关文章是必要的,因为它们包含了甲状腺癌治疗的基本信息、研究和进展。我们对前100篇文章的分析包括了对甲状腺癌研究影响最大的最重要的论文。在我们的榜单中,我们认可了最具生产力的作者和机构以及他们的研究文章。
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引用次数: 3
A Bibliometric Analysis of Turkey’s Contribution to Bone Health Literature from an Endocrinologist Perspective 从内分泌学家的角度分析土耳其对骨骼健康文献的贡献
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2018-62921
Ceyla Konca Değertekin, Ö. Turhan İyidir, D. Gogas Yavuz
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引用次数: 1
Case Report: Fixed Drug Eruption Caused by Dapagliflozin 达格列净致药疹1例
Pub Date : 1900-01-01 DOI: 10.25179/TJEM.2018-63449
M. Keskin, O. Tekin, A. Koca, M. Dağdeviren, G. Şimşek, M. Altay, D. Ertuğrul
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引用次数: 5
Anti-Insulin Antibody Syndrome Following Alpha-Lipoic Acid Use in Turkish Patients: Report of Three New Cases 土耳其患者使用α -硫辛酸后的抗胰岛素抗体综合征:三例新病例报告
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2021-83643
Emine Kartal Baykan
Anti-insulin antibody syndrome is a rare autoimmune disorder that is characterized by severe hypoglycemia, elevated blood insulin level, insulin autoantibodies, and the absence of pancreas islet cell pathology or exogenous insulin exposure. Alpha-lipoic acid is a sulfhydrylcontaining compound that is used to treat diabetic peripheral neuropathy and was first reported as a cause of anti-insulin antibody syndrome in Japan in 2003. In the literature, 17 cases with anti-insulin antibody syndrome following alpha-lipoic acid use have been reported from Japan, along with one case from Turkey, two from Korea, and seven cases from Italy. In this article, we present three cases with anti-insulin antibody syndrome developed after alpha-lipoic acid use. Case 1: A 72-year-old male patient was observed to have lost consciousness at home. This patient had no history of diabetes mellitus, diabetic medication, or insulin use. The patient complained of tiredness, palpitations, and sweating that began 3-4 h after eating but regressed after eating during the past month. The patient had a history of diagnosis with lumbar disk hernia two months ago and was using alpha-lipoic acid (600 mg). Case 2: A 67-year-old diabetic female patient using alpha-lipoic acid (600 mg) following the diagnosis of diabetic peripheral neuropathy. She complained of shivering and sweating two to three hours after a meal that started after starting alpha-lipoic acid therapy. Case 3: A 46-year-old male patient complained of fatigue, palpitations, and sweating for the last three weeks. Seven weeks ago, he started using alpha-lipoic acid (600 mg) after being diagnosed with carpal tunnel syndrome. The patients were diagnosed with anti-insulin antibody syndrome secondary to alpha-lipoic acid use, following which their alpha-lipoic therapy was discontinued. Alpha-lipoic acid is widely used in the treatment of diabetic peripheral neuropathy, nutritional support, or as an anti-aging agent. However, it should be noted that its use may cause anti-insulin antibody syndrome in genetically predisposed people.
抗胰岛素抗体综合征是一种罕见的自身免疫性疾病,其特征是严重低血糖,血胰岛素水平升高,胰岛素自身抗体,缺乏胰岛细胞病理或外源性胰岛素暴露。α -硫辛酸是一种含巯基的化合物,用于治疗糖尿病周围神经病变,2003年在日本首次报道为抗胰岛素抗体综合征的原因。在文献中,日本报告了17例使用α -硫辛酸后的抗胰岛素抗体综合征,土耳其1例,韩国2例,意大利7例。在本文中,我们报告了3例使用α -硫辛酸后出现的抗胰岛素抗体综合征。病例1:一名72岁男性患者在家中失去意识。患者无糖尿病史,无糖尿病药物史,无胰岛素使用史。患者主诉进食后3-4小时开始出现疲倦、心悸和出汗,但在过去一个月内进食后有所缓解。患者2个月前诊断为腰椎间盘突出,正在使用α -硫辛酸(600mg)。病例2:67岁糖尿病女性患者,诊断为糖尿病周围神经病变,应用α -硫辛酸(600 mg)治疗。她抱怨说,在开始α硫辛酸治疗后,饭后两到三个小时就开始发抖和出汗。病例3:46岁男性患者主诉疲劳、心悸、出汗近三周。七周前,在被诊断患有腕管综合征后,他开始服用α -硫辛酸(600毫克)。患者被诊断为继发于α -硫辛酸的抗胰岛素抗体综合征,随后停用α -硫辛酸治疗。α -硫辛酸广泛用于糖尿病周围神经病变的治疗、营养支持或作为抗衰老剂。然而,应该注意的是,它的使用可能会导致抗胰岛素抗体综合征的遗传易感性的人。
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引用次数: 1
Evaluation of the Circulating Betatrophin Concentration and its Possible Correlations Among Diabetic Patients with Dyslipidemia 糖尿病合并血脂异常患者循环Betatrophin浓度及其可能相关性的评价
Pub Date : 1900-01-01 DOI: 10.25179/TJEM.2018-63011
Rasha M. Hussein
®Copyright 2019 by Turkish Journal of Endocrinology and Metabolism Association Turkish Journal of Endocrinology and Metabolism published by Türkiye Klinikleri Evaluation of the Circulating Betatrophin Concentration and its Possible Correlations Among Diabetic Patients with Dyslipidemia Dislipidemili Diyabetik Hastalarda Dolaşımdaki Betatrofin Konsantrasyonunun ve Muhtemel Korelasyonlarının Değerlendirilmesi
®Copyright 2019 by Turkish Journal of Endocrinology and Metabolism Association 土耳其内分泌学和新陈代谢杂志由Türkiye Klinikleri出版 Evaluation of the Circulating Betatrophin Concentration and its Possible Correlations Among Diabetic Patients with Dyslipidemia Dislipidemili Diyabetik Hastalarda Dolaşımdaki Betatrofin Konsantrasyonunun ve Muhtemel Korelasyonlarının Değerlendirilmesi
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引用次数: 0
Hospitalisation Cost of Diabetic Patients with Foot Ulcers: A Retrospective Descriptive Analysis from Turkey 糖尿病足溃疡患者的住院费用:来自土耳其的回顾性描述性分析
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2021-82008
İ. H. Açar, N. Acar, Z. Sayiner, M. Araz, E. Akarsu
Objective: With the increase in the prevalence of diabetes and associated complications, most of the healthcare expenditure is due to treatments of diabetes complications. This study evaluated the determinants affecting the total treatment cost in hospitalized patients with diabetic foot ulcers (DFU), an important complication of diabetes. Material and Methods: Factors affecting cost in 300 cases of hospitalization due to DFU were analyzed retrospectively. Hospital invoices were examined, and incurred cost of each patient was calculated in Turkish lira and then converted into US dollars at the exchange rate on the date of hospitalization, considering the number of days of hospitalization. Results: Among the 300 included patients, the ratio of male/female participants was 1.94. The mean age of the patients was 62.6±11 years. Hemoglobin A1c mean was determined as 9.5±2.4%. The average hospitalization time was 17.8±12.9 days. When the average cost was analyzed according to Wagner phases, the average cost increased as the stage of the disease. The factor that most affected the cost was hospitalization cost (p=0.001, r=3.24). Diagnostic imaging tests affected the total cost the most (p=0.001, r=2.52) after hospitalization. Conclusion: The cost of hospitalization was the most important factor affecting the total cost in the analysis of DFU. Therefore, taking precautions before the advancement of ulcer stage and treatment at an early stage is expected to reduce the treatment cost. In addition, reducing the duration of hospital stay will be effective in reducing the cost of DFU treatment.
目的:随着糖尿病及其并发症患病率的增加,大部分医疗保健支出用于糖尿病并发症的治疗。本研究评估了影响糖尿病足溃疡(DFU)住院患者总治疗费用的决定因素,DFU是糖尿病的一个重要并发症。材料与方法:回顾性分析300例DFU住院费用影响因素。检查了医院发票,并以土耳其里拉计算每位患者的费用,然后考虑到住院天数,按住院当日的汇率换算成美元。结果:纳入的300例患者中,男女比例为1.94。患者平均年龄62.6±11岁。糖化血红蛋白平均值为9.5±2.4%。平均住院时间17.8±12.9 d。根据Wagner阶段分析平均成本时,平均成本随着疾病阶段的增加而增加。对成本影响最大的因素是住院费用(p=0.001, r=3.24)。诊断性影像学检查对住院后总费用影响最大(p=0.001, r=2.52)。结论:住院费用是影响DFU总费用的最重要因素。因此,在溃疡进展之前采取预防措施,在早期进行治疗,有望降低治疗成本。此外,缩短住院时间将有效降低DFU治疗的费用。
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引用次数: 0
Estimation of Segmental and Total Body Fat in Healthy Adults: Comparison of Bio-electric Impedance Analysis and Dual Energy X-ray Absorptiometry 健康成人部分体脂肪和全身脂肪的估计:生物电阻抗分析和双能x线吸收仪的比较
Pub Date : 1900-01-01 DOI: 10.25179/tjem.2019-70313
K. Majeed, S. Sulyman, H. Fathi
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引用次数: 2
期刊
The Turkish Journal of Endocrinology and Metabolism
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