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Nutritional Complications After Laparoscopic Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass: A Comparative Systematic Review and Meta-Analysis.腹腔镜Roux-en-Y胃旁路术和单吻合口胃旁路术后的营养并发症:一项比较性系统评价和荟萃分析
Cureus. 2022 Jan 11;14(1):e21114. doi: 10.7759/cureus.21114. eCollection 2022 Jan.
2
The outcomes of single anastomosis sleeve jejunal bypass as a treatment for morbid obesity (Two-year follow-up).单吻合口套叠空肠旁路术治疗病态肥胖的结果(两年随访)。
Surg Endosc. 2021 Oct;35(10):5698-5704. doi: 10.1007/s00464-020-08029-x. Epub 2020 Sep 28.
3
Roux-en-Y gastric bypass is a safe and effective option that improves major Co-Morbidities associated with obesity in an older, veteran population.Roux-en-Y 胃旁路手术是一种安全有效的选择,可以改善老年退伍军人肥胖相关的主要合并症。
Am J Surg. 2019 Oct;218(4):684-688. doi: 10.1016/j.amjsurg.2019.07.027. Epub 2019 Jul 20.
4
One Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Morbid Obesity: an Updated Meta-Analysis.单吻合口胃旁路术与 Roux-en-Y 胃旁路术治疗病态肥胖的比较:一项更新的荟萃分析。
Obes Surg. 2019 Sep;29(9):2721-2730. doi: 10.1007/s11695-019-04005-0.
5
Change in health-related quality of life and social cognitive outcomes in obese, older adults in a randomized controlled weight loss trial: Does physical activity behavior matter?一项随机对照减肥试验中肥胖老年患者健康相关生活质量和社会认知结果的变化:体力活动行为是否重要?
J Behav Med. 2018 Jun;41(3):299-308. doi: 10.1007/s10865-017-9903-6. Epub 2017 Nov 22.
6
Bariatric Surgery and Endoluminal Procedures: IFSO Worldwide Survey 2014.减重手术与腔内治疗:国际肥胖与代谢病外科联盟2014年全球调查
Obes Surg. 2017 Sep;27(9):2279-2289. doi: 10.1007/s11695-017-2666-x.
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The Effect of Roux-en-Y vs. Omega-Loop Gastric Bypass on Liver, Metabolic Parameters, and Weight Loss.Roux-en-Y胃旁路术与Omega袢胃旁路术对肝脏、代谢参数及体重减轻的影响
Obes Surg. 2016 Sep;26(9):2204-2212. doi: 10.1007/s11695-016-2083-6.
8
Prevalence of Self-reported Symptoms After Gastric Bypass Surgery for Obesity.肥胖症胃旁路手术后自述症状的患病率。
JAMA Surg. 2016 Jun 1;151(6):504-11. doi: 10.1001/jamasurg.2015.5110.
9
Nutritional deficiencies in gastric bypass patients; incidence, time of occurrence and implications for post-operative surveillance.胃旁路手术患者的营养缺乏;发生率、发生时间及对术后监测的意义。
Obes Surg. 2015 May;25(5):818-23. doi: 10.1007/s11695-014-1456-y.
10
Bariatric surgery versus intensive medical therapy for diabetes--3-year outcomes.减重手术与强化药物治疗糖尿病——3 年结果。
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单吻合口胃旁路术后一年人口统计学特征与体重减轻率及营养因素(白蛋白、维生素D3、铁蛋白)变化的相关性

The Association of Demographic Characteristics with the Rate of Weight Loss and Changes in Nutritional Factors (Albumin, Vitamin D3, Ferritin) One Year after One Anastomosis Gastric Bypass.

作者信息

Sayadishahraki Masoud, Salehi Atefe

机构信息

Department of General Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.

General Physician, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2023 Jul 25;12:192. doi: 10.4103/abr.abr_442_22. eCollection 2023.

DOI:10.4103/abr.abr_442_22
PMID:37694235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10492623/
Abstract

BACKGROUND

The effect of bariatric surgery on weight loss (WL) of patients with severe obesity is an established finding. However, some studies have shown that other factors such as demographic characteristics can also be involved in the extent of success and relapse of obesity. Thus, this study was performed to determine the association of demographic characteristics with the rate of weight loss and changes in nutritional factors one year after one anastomosis gastric bypass (OAGB).

MATERIALS AND METHODS

In this cross-sectional study, 121 patients undergoing OAGB were investigated. Patients' body mass index (BMI), nutritional factors (including levels of albumin, vitamin D3, and serum ferritin), and demographic characteristics were measured one year after the surgery.

RESULTS

The BMI one year after surgery was significantly lower than before surgery (47.12 ± 5.08 kg/m vs. 29.42 ± 3.86 kg/m; value <0.001). WL was 37.37 ± 6.70%. In addition, the serum level of vitamin D3 one year after surgery with the mean of 44.54 ± 17.25 was significantly higher than its level before surgery with the mean of 38.13 ± 14.42 ( value <0.001). WL in less than 50 years old and married patients was significantly higher than WL in over 50 years old and single patients ( value <0.05). Moreover, the decrease in serum ferritin level with the mean of 1.90 ± 0.56 ng/ml in women was significantly higher than its decrease with the mean of 3.02 ± 0.94 ng/ml in men ( value = 0.003).

CONCLUSION

Some demographic characteristics such as age, gender, and marital status seem to affect the rate of weight loss or ferritin level one year after OAGB.

摘要

背景

减肥手术对重度肥胖患者体重减轻(WL)的影响已得到证实。然而,一些研究表明,人口统计学特征等其他因素也可能与肥胖症的成功程度和复发有关。因此,本研究旨在确定人口统计学特征与单吻合口胃旁路术(OAGB)一年后体重减轻率及营养因素变化之间的关联。

材料与方法

在这项横断面研究中,对121例行OAGB手术的患者进行了调查。在手术后一年测量患者的体重指数(BMI)、营养因素(包括白蛋白、维生素D3和血清铁蛋白水平)以及人口统计学特征。

结果

术后一年的BMI显著低于术前(47.12±5.08kg/m²对29.42±3.86kg/m²;P值<0.001)。体重减轻率为37.37±6.70%。此外,术后一年血清维生素D3水平平均为44.54±17.25,显著高于术前平均水平38.13±14.42(P值<0.001)。年龄小于50岁且已婚患者的体重减轻率显著高于年龄大于50岁且单身患者(P值<0.05)。此外,女性血清铁蛋白水平平均下降1.90±0.56ng/ml,显著高于男性平均下降3.02±0.94ng/ml(P值=0.003)。

结论

年龄、性别和婚姻状况等一些人口统计学特征似乎会影响OAGB术后一年的体重减轻率或铁蛋白水平。