The Effect of Bariatric Surgery on Weight Loss and Metabolic Changes in Adults with Obesity

Głuszek, Stanisław; Bociek, Arkadiusz; Suliga, Edyta; Matykiewicz, Jarosław; Kołomańska, Magdalena; Bryk, Piotr; Znamirowski, Przemysław; Nawacki, Łukasz; Głuszek-Osuch, Martyna; Wawrzycka, Iwona; Kozieł, Dorota

doi:10.3390/ijerph17155342

Cited by 14 publications

(9 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Obesity is an important risk factor in the occurrence and development of several diseases, 4 such as type 2 diabetes, 5 MetS, 6 , 7 CVDs, 8 , 9 and numerous tumors. 10 It is also at the core of MetS.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Eight Anthropometric Indices for Identification of Metabolic Syndrome in Adults with Diabetes

Ding

Liang

2021

DMSO

View full text Add to dashboard Cite

Purpose: Several previous reports have highlighted the association between adiposity and risk of metabolic syndrome (MetS). Although it is necessary to identify which adiposity indices are best suited to identify MetS, no such study has been completed in diabetic patients. The aim of this study was to evaluate the ability of eight anthropometric indices to identify MetS in diabetic, middle-aged and elderly Chinese patients. Patients and Methods: A cross-sectional study was conducted in 906 type 2 diabetic patients in Guangxi. Results: The highest odds ratios for the identification of MetS were identified with CUN-BAE (OR = 28.306). The largest areas under the curve (AUCs) were observed for WHtR and BRI in men aged 40-59; CUN-BAE in men aged 60 and over; WHtR, BRI, and TyG in women aged 40-59; and BMI for women aged 60 and over. The weakest indicator for the screening of MetS in type 2 diabetes was the ABSI. Conclusion:The most effective anthropometric indicator for the identification of MetS varied across sex and age subgroups.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluation of Eight Anthropometric Indices for Identification of Metabolic Syndrome in Adults with Diabetes

Ding

Liang

2021

DMSO

View full text Add to dashboard Cite

show abstract

“…According to the Polish guidelines, patients with BMI > 40 kg/m 2 or >35 kg/m 2 with a concomitant complication of obesity are qualified for surgical treatment [5]. In this group, surgery is the most effective method for treatment of obesity providing, apart from the effect of body weight loss, also an improvement of biochemical and metabolic parameters, such as glycemic profile, lipidogram parameters, or leptin activity [6].…”

Section: Bmi (Kg/m 2 ) Who Classificationmentioning

confidence: 99%

GERD—A Burning Problem after Sleeve Gastrectomy?

Znamirowski

Bryk

Lewitowicz

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: Surgical treatment is the most effective method of treatment for obesity; and laparoscopic sleeve gastrectomy (LSG) is the most frequently performed bariatric surgery. Objective: The aim of the study was evaluation of the frequency of occurrence and the degree of progression of changes characteristic of GERD in patients who had undergone LSG in clinical; endoscopic; and microscopic images in the obtained bioptats; and an attempt to correlate the results obtained with the effectiveness of bariatric treatment. Materials and Method: The anonymized clinical data concerning 214 patients who had undergone LSG were collected from the database. Invitations for check-up examinations were distributed, to which 37 patients responded. Two patients were excluded from the study. In 35 patients after LSG check-up clinical examination, bariatric endoscopy (BE) and bariatric microscopy (BM) were performed on bioptats collected from the site of the gastro-esophageal junction; and 3 specimens collected at 2 cm intervals from the Z-line. The study was performed according to the standard protocol. Results: In the analyzed group, clinical symptoms of GERD occurred in 12 patients (34.5%), including 10 females and 2 males. The symptom reported by all patients was retrosternal pain/burning (heartburn). In BE, foci of ectopic mucosa in the epicardial part of the esophagus were found in 16 patients (14 F and 2 M). No correlation was observed between the analyzed parameters and the occurrence of the above-mentioned changes. In BM, only in three patients were the changes described as normal esophageal mucosa; while in another three, as foci of intestinal metaplasia, Barrett’s esophagus. In this group no foci of dysplasia were found. In eight patients, the changes were described as inflammatory. In ten patients from this group, microscopic changes occurred without clinical symptoms of the disease. Conclusions: GERD is an important clinical problem in patients after LSG; therefore; the problem of occurrence or exacerbation of symptoms of the disease should be discussed with the patient during qualification for bariatric surgery. The bariatric effectiveness of LSG does not correlate with the occurrence of the symptoms of GERD after the procedure. However; the lack of clinical symptoms of the disease does not mean the lack of its occurrence. Therefore; the endoscopic check-up after LSG should be routinely performed. During the qualification for LSG screening, histopathologic examinations of the esophagus may be useful for the assessment of the microscopic symptoms of GERD in oligosymptomatic patients; and exclusion of rare pathologies of the esophagus (e.g., eosinophilic esophagitis), which may complicate post-operative course.

show abstract

“…However, these treatments do not provide the expected results in individuals suffering from morbid obesity, with different authors indicating that bariatric surgery is the most efficient procedure to control obesity and its comorbidities [9,[11][12][13][14][15][16]. However, other authors report that some of the patients regain weight in the long term, which can worsen related comorbidities [11,[17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Arterial Hypertension in Morbid Obesity after Bariatric Surgery: Five Years of Follow-Up, a Before-And-After Study

Arias

Rodríguez-Álvarez

González‐Dávila

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Arterial hypertension (HTN) is common among morbidly obese patients undergoing bariatric surgery. The aim of this study is to analyse the prevalence and evolution of HTN and weight loss in patients suffering from morbid obesity before and after bariatric surgery, during a follow-up period of five years. Methods: A before-and-after study was carried out on severely obese patients undergoing Laparoscopic Roux-En-Y Gastric Bypass (LRYGB). Criteria for HTN diagnosis were current treatment with antihypertensive agents and/or systolic blood pressure (SBP) >140 mm Hg and/or diastolic (DBP) > 90 mm Hg. HTN remission was defined as normalisation of blood pressure (BP) maintained after discontinuation of medical treatment, and HTN recurrence was considered when HTN diagnostic criteria reappeared after remission. Weight loss during the study period was evaluated for each patient, calculating excess weight loss percentage (% EWL) and BMI loss percentage (% BMIL) with reference to the baseline value. Results: A total of 273 patients were included in the study. HTN was present in 48.2%; 29.4% of hypertensive patients showed HTN remission two years after the surgical procedure, 30.3% of them had relapsed at five years. Conclusion: LRYGB in obese patients is associated with a remission of HTN, and no weight loss differences were observed between the group of patients showing HTN remission at two years and the group who did not. However, differences were observed after the second follow-up year, with an increased weight loss in the remission group, which could indicate that sustained weight loss favours the control of HTN.

show abstract

The Effect of Bariatric Surgery on Weight Loss and Metabolic Changes in Adults with Obesity

Cited by 14 publications

References 34 publications

Evaluation of Eight Anthropometric Indices for Identification of Metabolic Syndrome in Adults with Diabetes

Evaluation of Eight Anthropometric Indices for Identification of Metabolic Syndrome in Adults with Diabetes

GERD—A Burning Problem after Sleeve Gastrectomy?

Arterial Hypertension in Morbid Obesity after Bariatric Surgery: Five Years of Follow-Up, a Before-And-After Study

Contact Info

Product

Resources

About