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National Health and Nutrition Examination Survey 2017-March 2020 Prepandemic Data Files-Development of Files and Prevalence Estimates for Selected Health Outcomes.2017年全国健康与营养检查调查 - 2020年3月疫情前数据文件 - 选定健康结果的数据文件编制及患病率估计
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EFFICACY AND SAFETY OF ONE ANASTOMOSIS GASTRIC BYPASS IN SURGICAL TREATMENT OF OBESITY: SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS.一种吻合胃旁路手术治疗肥胖症的疗效和安全性:随机对照试验的系统评价和荟萃分析。
Arq Bras Cir Dig. 2024 Aug 30;37:e1814. doi: 10.1590/0102-6720202400021e1814. eCollection 2024.
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Breast Cancer Risk After Bariatric Surgery and Influence of Insulin Levels: A Nonrandomized Controlled Trial.减肥手术后的乳腺癌风险和胰岛素水平的影响:一项非随机对照试验。
JAMA Surg. 2024 Aug 1;159(8):856-863. doi: 10.1001/jamasurg.2024.1169.
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Lots of reflux, but no Barrett: real-world data on the incidence of gastroesophageal reflux on routine endoscopic follow-up more than 5 years after sleeve gastrectomy.大量反流,但无巴雷特食管:袖状胃切除术后5年以上常规内镜随访中胃食管反流发生率的真实世界数据。
J Gastrointest Surg. 2024 Jul;28(7):1177-1178. doi: 10.1016/j.gassur.2024.04.023. Epub 2024 May 3.
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American Society for Metabolic and Bariatric Surgery 2022 estimate of metabolic and bariatric procedures performed in the United States.美国代谢与减重外科学会 2022 年美国代谢与减重手术实施预估。
Surg Obes Relat Dis. 2024 May;20(5):425-431. doi: 10.1016/j.soard.2024.01.012. Epub 2024 Feb 1.
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Incidence of cancer for patients after bariatric surgery: evidence from 33 cohort studies.肥胖症患者接受减重手术后的癌症发病率:来自 33 项队列研究的证据。
Surg Obes Relat Dis. 2024 May;20(5):467-481. doi: 10.1016/j.soard.2023.11.010. Epub 2023 Nov 27.
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Association of Bariatric Surgery with Risk of Incident Obesity-Associated Malignancies: a Multi-center Population-Based Study.减重手术与新发肥胖相关恶性肿瘤风险的关联:一项多中心基于人群的研究。
Obes Surg. 2023 Dec;33(12):4065-4069. doi: 10.1007/s11695-023-06926-3. Epub 2023 Nov 16.
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BRAZILIAN MULTI-SOCIETY POSITION STATEMENT ON EMERGING BARIATRIC AND METABOLIC SURGICAL PROCEDURES.巴西多学会立场声明:新兴减重与代谢手术相关问题
Arq Bras Cir Dig. 2023 Sep 15;36:e1759. doi: 10.1590/0102-672020230041e1759. eCollection 2023.
9
Decreased Risk of Esophageal Adenocarcinoma After Gastric Bypass Surgery in a Cohort Study From 3 Nordic Countries.队列研究显示,3 个北欧国家的胃旁路手术后食管腺癌风险降低。
Ann Surg. 2023 Dec 1;278(6):904-909. doi: 10.1097/SLA.0000000000006003. Epub 2023 Jul 14.
10
Longitudinal body mass index and cancer risk: a cohort study of 2.6 million Catalan adults.纵向体重指数与癌症风险:260 万加泰罗尼亚成年人的队列研究。
Nat Commun. 2023 Jun 30;14(1):3816. doi: 10.1038/s41467-023-39282-y.

肥胖与癌症之间关系的证据日益增多以及减肥手术的作用。

THE GROWING EVIDENCE OF THE RELATIONSHIP BETWEEN OBESITY AND CANCER AND THE ROLE OF BARIATRIC SURGERY.

作者信息

Kassab Paulo, Ferraz Álvaro Antônio Bandeira, Mitidieri Anna Clara Hebling, Berti Luiz Vicente, Santo Marco Aurélio, Szego Tiago, Zanon Caio de Carvalho, Castro Osvaldo Antônio Prado, Freitas Junior Wilson Rodrigues de, Ilias Elias Jirjoss, Malheiros Carlos Alberto, Valez Antônio Carlos, Campos Antônio Carlos Ligocki

机构信息

Santa Casa de São Paulo, Faculdade de Ciências Médicas, Department of Surgery - São Paulo (SP), Brazil.

Universidade Federal de Pernambuco, Hospital Universitêrio, Department of Surgery - Recife (PE), Brazil.

出版信息

Arq Bras Cir Dig. 2024 Dec 2;37:e1838. doi: 10.1590/0102-6720202400044e1838. eCollection 2024.

DOI:10.1590/0102-6720202400044e1838
PMID:39630839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11654459/
Abstract

Obesity is recognized as a significant risk factor for various types of cancer. Although the incidence of some types of cancer across various primary sites is decreasing due to specific prevention measures (screening programs, smoking cessation), the incidence of neoplasms in the young population shows a significant increase associated with obesity. There is sufficient evidence to say that bariatric surgery has been shown to significantly lower the risk of developing obesity-associated cancers, which are linked to metabolic dysregulation, chronic low-grade systemic inflammation, and hormonal alterations such as elevated levels of insulin and sex hormones.

摘要

肥胖被认为是各类癌症的一个重要风险因素。尽管由于特定的预防措施(筛查项目、戒烟),不同原发部位的某些类型癌症的发病率正在下降,但年轻人群中肿瘤的发病率却因肥胖而显著上升。有充分证据表明,减重手术已被证明能显著降低患肥胖相关癌症的风险,这些癌症与代谢失调、慢性低度全身炎症以及激素改变(如胰岛素和性激素水平升高)有关。