Hassan Sobia, Hassan Chandra
From the Division of Rheumatology, Case Western Reserve University/MetroHealth Medical Center, Cleveland, Ohio; Division of Bariatric Surgery, University of Illinois, Chicago, Illinois, USA.S. Hassan, MD, MRCP, Assistant Professor, Division of Rheumatology, Case Western Reserve University/MetroHealth Medical Center; C. Hassan, MD, FRCS, Director of Bariatrics, Division of Bariatric Surgery, University of Illinois.
J Rheumatol. 2016 Jun;43(6):1001-7. doi: 10.3899/jrheum.160075. Epub 2016 May 1.
A staggering 76 million adults are obese in the United States. It is known that obesity contributes to increased incidence and worse disease outcomes in many rheumatic conditions. Bariatric surgery has emerged as the most effective treatment modality for the morbidly obese, leading to substantial and sustained weight loss. The purpose of this review article is to summarize the findings of studies investigating the effect of substantial weight loss achieved through bariatric surgery on rheumatic disease and outcomes. Second, with an increasing number of patients undergoing bariatric surgery, it is important for the rheumatologist to have a basic understanding of the commonly performed bariatric procedures and to be aware of important nutritional deficiencies and medication restrictions that apply to this patient population.
在美国，多达7600万成年人患有肥胖症。众所周知，肥胖会导致许多风湿性疾病的发病率增加和疾病预后变差。减肥手术已成为治疗病态肥胖症最有效的治疗方式，可导致显著且持续的体重减轻。这篇综述文章的目的是总结研究结果，这些研究调查了通过减肥手术实现的大幅体重减轻对风湿性疾病及其预后的影响。其次，随着越来越多的患者接受减肥手术，风湿病医生了解常见的减肥手术基本情况，并意识到适用于该患者群体的重要营养缺乏和药物限制非常重要。
