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When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health? 当越大越好:减肥手术能增加低密度脂蛋白颗粒大小以改善健康吗?
4区 医学 Q3 Nursing Pub Date : 2023-10-23 DOI: 10.1089/bari.2023.0029
Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, Amirhossein Sahebkar
Bariatric Surgical Practice and Patient CareAhead of Print When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, and Amirhossein SahebkarTannaz JamialahamdiApplied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Search for more papers by this author, Matthew KrohDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.Search for more papers by this author, Wael AlmahmeedHeart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.Search for more papers by this author, and Amirhossein SahebkarAddress correspondence to: Amirhossein Sahebkar, PharmD, PhD, Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad 9177948954, Iran E-mail Address: [email protected]https://orcid.org/0000-0002-8656-1444Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.Search for more papers by this authorPublished Online:23 Oct 2023https://doi.org/10.1089/bari.2023.0029AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?." Bariatric Surgical Practice and Patient Care, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, and Amirhossein Sahebkar.When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?.Bariatric Surgical Practice and Patient Care.ahead of printhttp://doi.org/10.1089/bari.2023.0029Online Ahead of Print:October 23, 2023PDF download
减肥手术实践和患者护理:减肥手术能增加低密度脂蛋白颗粒大小以改善健康状况吗?Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed和Amirhossein SahebkarTannaz Jamialahamdi应用生物医学研究中心,马什哈德,伊朗。搜索作者Matthew KrohDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA的更多论文。搜索本作者的更多论文,Wael almahmeed心脏和血管研究所,克利夫兰诊所,阿布扎比,阿布扎比,阿拉伯联合酋长国。搜索本文作者和Amirhossein Sahebkar的更多论文。通讯地址:Amirhossein Sahebkar, PharmD, PhD,生物技术研究中心,马什哈德医学大学制药技术研究所,马什哈德9177948954,伊朗。电子邮件地址:[email protected]https://orcid.org/0000-0002-8656-1444Applied马什哈德医学大学生物医学研究中心,马什哈德,伊朗。伊朗马什哈德马什哈德医科大学制药技术研究所生物技术研究中心。搜索本文作者的更多论文发表在线:2023年10月23日https://doi.org/10.1089/bari.2023.0029AboutSectionsView文章查看全文pdf /EPUB权限和引文下载引文strack引文添加到收藏夹返回出版物共享分享在facebook上推特链接在redditemail查看文章“当越大越好:减肥手术可以提高低密度脂蛋白颗粒大小以改善健康吗?”《减肥外科实践与患者护理》,第0卷第0期信息版权所有,Mary Ann Liebert, Inc.,出版商。本文引用:Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed和Amirhossein Sahebkar。当越大越好:减肥手术能增加低密度脂蛋白颗粒大小以改善健康吗?减肥手术实践和病人护理。打印前://doi.org/10.1089/bari.2023.0029Online打印前:2023年10月23日pdf下载
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引用次数: 0
Correlation of Preoperative Prognostic Laboratory Markers with Bariatric Surgery-Related Complications 术前预后实验室指标与减肥手术相关并发症的相关性
4区 医学 Q3 Nursing Pub Date : 2023-10-23 DOI: 10.1089/bari.2022.0074
Sinan Arici, Mehmet Fatih Erol
Introduction: Bariatric surgery is defined as the best long-term treatment for morbid obesity and this leads massive increase in bariatric surgeries worldwide. However, these procedures are associated with severe morbidities and mortalities. And the clarification of preoperative predictors is still unclear today. Materials and Methods: We collected all clinical and laboratory findings of the patients retrospectively who underwent elective bariatric surgery at our hospital (2018–2021). We evaluated the parameters in terms of predictors of early complications. Results: From January 2018 to August 2021, 325 patients underwent bariatric surgery (sleeve: 172–bypass: 153). In total, 24 patients had early postbariatric complications (11 leak, 10 bleeding, and 3 pulmonary embolism). After evaluation of the data, preoperative laboratory markers and ratios were not found to be significantly associated with major complications. Only “asthma” as a comorbidity was a significant predictor of postbariatric surgery complications. Conclusion: The preoperative laboratory markers and ratios are potential prognostic factors for postoperative morbidities and mortalities in patients undergoing bariatric surgery. Our clinical findings do not correlate with major complications. More prospective studies and larger number of patients are needed to shed light on the potential importance of these parameters. Clinical trial Registration number: 2021/09-17.
简介:减肥手术被定义为治疗病态肥胖的最佳长期治疗方法,这导致全球范围内减肥手术的大量增加。然而,这些手术与严重的发病率和死亡率有关。而术前预测因素的澄清至今仍不清楚。材料与方法:回顾性收集我院(2018-2021年)择期减肥手术患者的所有临床和实验室结果。我们根据早期并发症的预测因素来评估这些参数。结果:从2018年1月到2021年8月,325名患者接受了减肥手术(套管:172 -旁路:153)。总共有24例患者出现早期减肥后并发症(11例泄漏,10例出血,3例肺栓塞)。在对数据进行评估后,术前实验室标记物和比率未发现与主要并发症有显著相关性。只有“哮喘”作为合并症是减肥手术后并发症的重要预测因子。结论:术前实验室指标和比值是影响减肥手术患者术后发病率和死亡率的潜在预后因素。我们的临床发现与主要并发症无关。需要更多的前瞻性研究和更多的患者来阐明这些参数的潜在重要性。临床试验注册号:2021/09-17。
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引用次数: 0
Association Between Vitamin D Levels and Nonalcoholic Fatty Liver Disease in Bariatric Surgery Candidates 减肥手术患者维生素D水平与非酒精性脂肪肝的关系
4区 医学 Q3 Nursing Pub Date : 2023-10-03 DOI: 10.1089/bari.2022.0072
Larissa Maria Cavalcante e Silva, Silvia Alves da Silva, Andréia Lira Santos, Fernando Santa-Cruz, Luís Henrique de A. Leão, Lucas R. Coutinho, Ednádila Farias Santos, Álvaro A.B. Ferraz
Introduction: Vitamin D acts on a series of regulatory and signaling processes in the liver parenchyma, which are closely related to energy metabolism and inflammatory responses. This immune-inflammatory role is particularly interesting for understanding the correlation between serum vitamin D levels, obesity, and nonalcoholic fatty liver disease (NAFLD). Methods: This retrospective observational study collected secondary data from medical records of patients who underwent bariatric surgery with vertical gastrectomy from 2014 to 2018. After applying the inclusion and exclusion criteria, 164 patients were selected, with preoperative analysis of anthropometric, clinical, biochemical, and imaging parameters. Results: The group without steatosis showed higher serum vitamin D levels (in median) when compared to the groups with mild and moderate/severe steatosis, respectively. When vitamin D status and variables related to social drinking, body mass index degree, and lipid profile were evaluated, only alcohol consumption was associated with vitamin D insufficiency (p = 0.042). Conclusions: There is a high prevalence of vitamin D insufficiency/deficiency in the bariatric surgery preoperative period. Furthermore, it was not possible to establish a causal relationship between vitamin D deficiency and NAFLD, notwithstanding the verification of higher serum vitamin D levels in individuals who did not have liver lesions on ultrasonography.
维生素D作用于肝实质的一系列调控和信号传导过程,与能量代谢和炎症反应密切相关。这种免疫炎症作用对于理解血清维生素D水平、肥胖和非酒精性脂肪性肝病(NAFLD)之间的关系尤其有趣。方法:本回顾性观察性研究收集了2014年至2018年接受减肥手术合并垂直胃切除术患者病历的二次资料。应用纳入和排除标准,选择164例患者,术前进行人体测量、临床、生化和影像学参数分析。结果:无脂肪变性组的血清维生素D水平(中位数)分别高于轻度和中度/重度脂肪变性组。当评估维生素D状态和与社交饮酒、体重指数程度和血脂相关的变量时,只有饮酒与维生素D不足有关(p = 0.042)。结论:在减肥手术术前,维生素D不足/缺乏的发生率较高。此外,不可能建立维生素D缺乏和NAFLD之间的因果关系,尽管在超声检查没有肝脏病变的个体中证实了较高的血清维生素D水平。
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引用次数: 0
Laparoscopic Sleeve Gastrectomy as One-Step Procedure for Patients with Obesity: Long-Term Outcomes of a Single Center 腹腔镜袖式胃切除术作为肥胖症患者的一步手术:单一中心的长期结果
4区 医学 Q3 Nursing Pub Date : 2023-09-22 DOI: 10.1089/bari.2023.0001
Hilmi Yazici, Ahmet Mucteba Ozturk, Ahmet Cekic, Ahmet Can Yasar, Mehmet Yildirim
Background: Laparoscopic sleeve gastrectomy (LSG) has become the most popular procedure in the past decade. The aim of this study is to evaluate the weight loss and weight regain (WR) results of LSG at a single center. Materials and Methods: The patients who underwent LSG between 2015 and 2018 were examined. The percentage of excess weight loss (EWL%), percentage of total weight loss (TWL%), and body mass index (BMI) were reported. WR was defined as patients who regained >25% of the peak median EWL%. Failure in weight loss (FWL) was defined as EWL% <50%. Comorbidity resolutions were recorded. Results: A total number of 202 patients were included in the study. The median follow-up time was 59 (interquartile range: 18) months. The baseline median BMI was 47.6 kg/m2. The peak median EWL and TWL were 89.5% and 42%, respectively. The median EWL and TWL at the median 5 years follow-up were 70% and 34%, respectively. No WR was reported in the first 3 years. The number of patients with WR and rates during the follow-up were as follows: 2 (1%) in 4 years, 25 (12%) in 5 years, 42 (21%) in 6 years, 58 (29%) in 7 years, and 62 (31%) patients in 8 years follow-up. The WR group has a significantly shorter time to reach the peak median EWL% and the lowest median BMI. FWL was observed in 38 patients, and 31 (82%) of them also showed WR. Total remission rates of hypertension and type 2 diabetes mellitus were 65% and 77%, respectively. Conclusion: Although LSG shows excellent outcomes in short-term follow-ups, more extended follow-ups showed unsatisfying results. In 8 years, almost one in three patients showed WR in this series. The patient-based treatment options might be more appropriate in bariatric surgeries.
背景:近十年来,腹腔镜袖式胃切除术(LSG)已成为最流行的手术。本研究的目的是在单一中心评估LSG的体重减轻和体重恢复(WR)结果。材料与方法:选取2015 - 2018年间行LSG的患者作为研究对象。报告超重减重百分比(EWL%)、总减重百分比(TWL%)和体重指数(BMI)。WR被定义为患者恢复超过峰值中位EWL%的25%。体重减轻失败(FWL)定义为EWL% <50%。记录共病解决方案。结果:共纳入202例患者。中位随访时间为59个月(四分位数间距为18个月)。基线中位BMI为47.6 kg/m2。EWL和TWL的峰值中位数分别为89.5%和42%。中位5年随访时EWL和TWL分别为70%和34%。前3年无WR报告。随访期间WR患者数及发生率为:4年2例(1%),5年25例(12%),6年42例(21%),7年58例(29%),8年62例(31%)。WR组达到EWL%中值峰值和BMI中值最低的时间显著缩短。38例患者出现FWL,其中31例(82%)出现WR。高血压和2型糖尿病的总缓解率分别为65%和77%。结论:LSG短期随访效果良好,但长期随访效果不理想。在8年的时间里,几乎三分之一的患者出现了WR。以患者为基础的治疗方案可能更适合于减肥手术。
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引用次数: 0
Evaluation of Eating Disorders, Emotional State, and Quality of Life in Bariatric Surgery Patients: Cross-Sectional Study 减肥手术患者饮食失调、情绪状态和生活质量的评估:横断面研究
4区 医学 Q3 Nursing Pub Date : 2023-09-22 DOI: 10.1089/bari.2023.0027
Melis Aycan, Aylin Acikgoz Pinar, Hanife Avci, Oktay Banli
Background: Several factors can influence the outcomes of bariatric surgery. The aim of this study is to compare eating disorders, emotional states, and quality of life (QoL) between individuals who have undergone bariatric surgery and bariatric surgery candidates and also to evaluate the relationship between these factors. Methods: A total number of 60 individuals (the case group:30, the control group:30), participated in a cross-sectional study. The following data were collected from face-to-face interviews: the Eating Disorder Examination-Questionnaire (EDE-Q), the Emotional Eater-Questionnaire (EEQ), the Profile of Mood States-Questionnaire (POMS), and the Impact of Weight on Quality of Life-Lite Questionnaire (IWQOL-Lite). Results: Total EEQ scores, independent of surgery, showed that women were more emotional eaters than men (p = 0.002). The restraint subscale from the EDE-Q subscales showed that restrictive eating behaviors were more common in the case group (p = 0.05) According to the analysis of IWQOL-Lite subscales, the quality of life of the case group was higher in terms of physical functions (p = 0.02). In addition, eating disorders were positively correlated with emotional states and negatively correlated with quality of life. Conclusion: Eating disorders and emotional states were in a significant relationship with each other in bariatric surgery patients, and these problems negatively affected the quality of life.
背景:几个因素可以影响减肥手术的结果。本研究的目的是比较饮食失调、情绪状态和生活质量(QoL)之间的个体进行减肥手术和减肥手术候选人,并评估这些因素之间的关系。方法:共60例个体(病例组30例,对照组30例),采用横断面研究。采用面对面访谈的方式收集数据:进食障碍检查问卷(ed - q)、情绪进食问卷(EEQ)、情绪状态问卷(POMS)和体重对生活质量影响问卷(IWQOL-Lite)。结果:与手术无关的EEQ总分显示,女性比男性更情绪化进食(p = 0.002)。ed - q子量表的约束子量表显示,病例组的限制性饮食行为更常见(p = 0.05)。IWQOL-Lite子量表分析显示,病例组在身体机能方面的生活质量更高(p = 0.02)。此外,饮食失调与情绪状态呈正相关,与生活质量负相关。结论:减肥手术患者饮食失调与情绪状态存在显著相关关系,并对生活质量产生负面影响。
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引用次数: 0
Turkish Adaptation of the Bariatric Surgery Self-Management Behaviors Questionnaire: A Validity and Reliability Study 土耳其减肥手术自我管理行为问卷的改写:效度和信度研究
4区 医学 Q3 Nursing Pub Date : 2023-09-19 DOI: 10.1089/bari.2023.0028
Damla Seçkin, Fatma Cebeci
This study aimed to adapt the “Bariatric Surgery Self-Management Behaviors Questionnaire (BBSQ)” to Turkish, and to evaluate its validity and reliability. In this study, the translation and adaptation of BBSQ to Turkish were completed in line with specific standards. Confirmatory Factor Analysis (CFA), t-test, and analysis of variance were used in the analysis of the data. A five-stage translation process was completed in the adaptation of BBSQ to Turkish and its cultural adaptation. Data were collected online from 209 patients. CFA was applied within the scope of the adaptation studies of the factor structure of the scale to Turkish culture. As a result of the analysis, BBSQ-Turkish (BBSQ-TR) confirmed the original factor structure. While the alpha value of the BBSQ-TR was 0.75, the composite reliability value was determined as 0.94, proving that the scale is a reliable measurement tool. The Turkish version of BBSQ is a valid and reliable tool for bariatric patients.
本研究旨在将“减肥手术自我管理行为问卷”(BBSQ)应用于土耳其,并对其效度和信度进行评估。本研究按照特定的标准完成了BBSQ对土耳其语的翻译和改编。数据分析采用验证性因子分析(CFA)、t检验和方差分析。完成了BBSQ对土耳其语及其文化适应的五个阶段的翻译过程。在线收集了209名患者的数据。CFA应用于量表因素结构对土耳其文化的适应性研究范围内。分析结果表明,BBSQ-Turkish (BBSQ-TR)确认了原有的因子结构。而BBSQ-TR的alpha值为0.75,复合信度值为0.94,证明该量表是一种可靠的测量工具。土耳其版的BBSQ是肥胖患者有效和可靠的工具。
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引用次数: 0
Effect of Reverse Trendelenburg Position Applied Before Pneumoperitoneum on Optic Nerve Sheath Diameter in Laparoscopic Bariatric Surgery: A Randomized, Controlled Study 在腹腔镜减肥手术中,气腹前应用反向Trendelenburg体位对视神经鞘直径的影响:一项随机对照研究
4区 医学 Q3 Nursing Pub Date : 2023-09-11 DOI: 10.1089/bari.2022.0066
Ali Solmaz, Serdar Demirgan, Büşra Burcu, Ozan Caliskan, Selma Yagcı, Özlem Yılmaz, Nadir Adnan Hacım
Background: Laparoscopic surgery is usually associated with increased levels of intracranial pressure (ICP). The impact of positional changes on ICP measurements via optic nerve sheath diameter (ONSD) in bariatric surgery has yet to be studied. We aimed at evaluating the impact of positional changes on ONSD values during the laparoscopic sleeve gastrectomy. Methods: One hundred and four obese patients who underwent laparoscopic sleeve gastrectomy were recruited. Patients were allocated into two groups based on initiating pneumoperitoneum in supine (Group SP, n = 51) and reverse Trendelenburg (Group RTP, n = 53) positions. Intraoperative ONSD measurements were performed at different time points: T0 (baseline, before anesthesia induction), T1 (after endotracheal intubation), T2 (after pneumoperitoneum in Group SP and after positioning in Group RTP), T3 (after positioning in Group SP and after pneumoperitoneum in Group RTP), T4 (intraoperative), and T5 (after desufflation). ONSD measurements at different time points and postoperative nausea-vomiting are the primary outcomes. Results: ONSD values at T2 in Group RTP were significantly lower than in Group SP (p < 0.001). For T4 and T5 time points, there were significantly lower ONSD values in Group RTP (p = 0.004 and p = 0.040). Conclusions: Initiation of pneumoperitoneum in reverse Trendelenburg position resulted in significantly lower values of ONSD during laparoscopic bariatric surgery.
背景:腹腔镜手术通常与颅内压(ICP)升高有关。在减肥手术中,体位变化对视神经鞘直径(ONSD)测量ICP的影响还有待研究。我们的目的是评估在腹腔镜袖式胃切除术中位置变化对ONSD值的影响。方法:选取104例行腹腔镜袖式胃切除术的肥胖患者。根据仰卧位(SP组,n = 51)和逆Trendelenburg位(RTP组,n = 53)启动气腹,将患者分为两组。术中测量不同时间点的ONSD: T0(基线,麻醉诱导前)、T1(气管插管后)、T2 (SP组气腹后、RTP组体位后)、T3 (SP组体位后、RTP组气腹后)、T4(术中)、T5(消肿后)。不同时间点的ONSD测量和术后恶心呕吐是主要结果。结果:RTP组T2时ONSD值显著低于SP组(p < 0.001)。在T4和T5时间点,RTP组的ONSD值显著降低(p = 0.004和p = 0.040)。结论:在腹腔镜减肥手术中,以反Trendelenburg体位开始气腹可显著降低ONSD值。
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引用次数: 0
Letter from the Editor 编辑来信
4区 医学 Q3 Nursing Pub Date : 2023-09-01 DOI: 10.1089/bari.2023.29035.djm
Dean J. Mikami
Bariatric Surgical Practice and Patient CareVol. 18, No. 3 EditorialFree AccessLetter from the EditorDean J. MikamiDean J. MikamiDean J. Mikami, MD, FACS, Editor-in-Chief, Bariatric Surgical Practice and Patient Care, Professor of Surgery, Associate Chair of Clinical Affairs, Division Chief, General Surgery, Associate Program Director, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA E-mail Address: [email protected]Department of General Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.Search for more papers by this authorPublished Online:12 Sep 2023https://doi.org/10.1089/bari.2023.29035.djmAboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail To all our readers, I am happy to report that our Scopus CiteScore has increased over the past couple of years and our impact factor remains stable. We strive to publish useful and relevant information for bariatric practices and improvements in patient care. I would like to reaffirm my commitment to shortening the time from submission to publication. The only way to improve on this is to rely on the dedicated peer reviewers who spend countless hours evaluating and scoring our submissions. I want to send my deepest gratitude to all who have helped in the past and who will be called on in the future to help with peer reviews.As past chair of the American Society of Metabolic and Bariatric Surgery Emerging Technology and Flexible Endoscopy committees, I would like our clinicians and researchers to submit more articles on these topics and I feel this may be the future of bariatric surgery. With the rise of artificial intelligence in surgery and the increasing usage of weight loss medications, the field of “bariatrics” is constantly evolving and change is certain in the near future.In this issue, we have a wide variety of articles from around the world. Our lead study is from Turkey titled “Effects of Exercise Training in Subjects with Morbidly Obesity Awaiting Bariatric Surgery: Review.” Bariatric Surgical Practice and Patient Care continues to hold a strong international presence as we have publications from eight different countries represented in this issue.In closing, I hope you consider publishing your next study in Bariatric Surgical Practice and Patient Care. The journal is always open to innovative ways of improving the reader's experience. Please feel free to contact me if you have any suggestions that could improve our journal.Sincerely,FiguresReferencesRelatedDetails Volume 18Issue 3Sep 2023 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Dean J. Mikami.Letter from the Editor.Bariatric Surgical Practice and Patient Care.Sep 2023.130-130.http://doi.org/10.1089/bari.2023.29035.djmPublished in Volume: 18 Issue 3: September 12, 2023Online Ahead of Print:August 8, 2023PDF download
减肥手术实践与患者护理。院长J. MikamiDean J. MikamiDean J. Mikami,医学博士,FACS,主编,减肥外科实践和患者护理,外科教授,临床事务副主席,普通外科主任,副项目主任,夏威夷大学约翰A.伯恩斯医学院,檀香山,HI 96813,美国电子邮件地址:[email protected]美国夏威夷檀香山,夏威夷大学约翰·a·伯恩斯医学院普外科。搜索本文作者的更多论文发表在线:2023年9月12日https://doi.org/10.1089/bari.2023.29035.djmAboutSectionsPDF/EPUB权限和引文missionsdownload CitationsTrack引文添加到收藏回到出版分享分享在facebook上推特链接在redditemail对我们所有的读者,我很高兴地报告,我们的Scopus CiteScore在过去几年中有所增加,我们的影响因子保持稳定。我们努力为减肥实践和改善患者护理发布有用的相关信息。我要重申,我承诺缩短从提交到出版的时间。改善这一点的唯一方法是依靠专职的同行审稿人,他们花了无数的时间来评估和评分我们的提交。我想向所有过去帮助过我的人,以及将来被要求帮助我进行同行评议的人,致以最深切的感谢。作为美国代谢和减肥手术新兴技术和柔性内窥镜委员会的前任主席,我希望我们的临床医生和研究人员提交更多关于这些主题的文章,我觉得这可能是减肥手术的未来。随着人工智能在外科手术中的兴起和减肥药的使用越来越多,“减肥”领域不断发展,在不久的将来肯定会发生变化。在这一期,我们有来自世界各地的各种各样的文章。我们的主要研究来自土耳其,题为“运动训练对等待减肥手术的病态肥胖患者的影响:回顾”。《减肥外科实践与患者护理》继续保持强大的国际影响力,因为我们在这期杂志上有来自八个不同国家的出版物。最后,我希望你考虑发表你的下一个研究在减肥外科实践和病人护理。该杂志一直对改善读者体验的创新方式持开放态度。如果您有任何建议可以改进我们的期刊,请随时与我联系。资料版权所有,Mary Ann Liebert, Inc.,出版商本文引用:Dean J. Mikami。编辑来信。减肥手术实践和病人护理。2023.9月130-130.http://doi.org/10.1089/bari.2023.29035.djmPublished卷:18期:2023年9月12日在线提前打印:2023年8月8日pdf下载
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引用次数: 0
Interest of Spinal Analgesia in Bariatric Surgery 脊柱镇痛在减肥手术中的作用
4区 医学 Q3 Nursing Pub Date : 2023-09-01 DOI: 10.1089/bari.2022.0062
Thibaut Coste, Eric Boulay, Edouard Ghanassia, Alexandre Lemaitre
Introduction: Enhanced rehabilitation after surgery (ERAS) should be applied to bariatric surgery. Multimodal analgesia is one of the pillars of ERAS, of which spinal analgesia (SA) is a part. The interest of SA in bariatric surgery is poorly described, yet it can be performed easily even in obese patients, reducing postoperative pain, opioid consumption, and hospitalization time. Materials and Methods: This is a retrospective and comparative study; the objective was to study the feasibility and interest of SA combining 100 μg of morphine and 150 μg of clonidine in bariatric surgery during the first postoperative day. Results: Thirty-six patients were included: 29 patients (81%) benefited from SA (group SA) and 7 benefited from standard analgesia (group S). SA was linked to a decrease in postoperative morphine consumption (odds ratio −2.551, 95% confidence interval [−5.212 to −0.570], p = 0.016). The rate of acute high blood pressure was significantly higher in group S (p = 0.05). There was no difference between the two groups in the occurrence of side effects. Conclusions: SA with morphine and clonidine improves postoperative analgesia. We recommend 0.1 mg as the standard dose. The use of clonidine could make it possible to limit the dose of morphine injected and reduce the postoperative hypertensive risk. french registration: ANSM—RCB ID: 2018-A01310-55.
手术后增强康复(ERAS)应应用于减肥手术。多模态镇痛是ERAS的支柱之一,其中脊髓镇痛(SA)是其中的一部分。SA在减肥手术中的应用鲜有报道,但即使在肥胖患者中也可以很容易地进行,减少了术后疼痛、阿片类药物的消耗和住院时间。材料与方法:回顾性比较研究;目的探讨100 μg吗啡和150 μg可乐定联合应用于减肥手术术后第一天的可行性和趣味性。结果:纳入36例患者:29例(81%)患者受益于SA (SA组),7例受益于标准镇痛(S组)。SA与术后吗啡用量减少有关(优势比为- 2.551,95%可信区间[- 5.212至- 0.570],p = 0.016)。S组急性高血压发生率显著高于对照组(p = 0.05)。两组的副作用发生率无差异。结论:吗啡与可乐定联合用药可改善术后镇痛。我们推荐0.1毫克作为标准剂量。使用可乐定可以限制吗啡的注射剂量,降低术后高血压的风险。法国注册:ANSM-RCB ID: 2018-A01310-55。
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引用次数: 0
Micronutrient Status in the First Year After Laparoscopic Sleeve Gastrectomy According to Pylorus Distance (1–3 and 4–6 cm) 根据幽门距离(1 ~ 3cm和4 ~ 6cm)观察腹腔镜袖式胃切除术后第一年微量营养素状况
IF 0.3 4区 医学 Q3 Nursing Pub Date : 2023-08-31 DOI: 10.1089/bari.2023.0024
M. Sermet
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引用次数: 0
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Bariatric Surgical Practice and Patient Care
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