检索结果-南通市图书馆

bariatric surgery induces alterations in effective connectivity between the orbitofrontal cortex and limbic regions in obese patients

引用

Science China(Information Sciences) 2020年第7期63卷 49-59页

作者： Shijun DUAN Gang JI Guanya LI Yang HU Wenchao ZHANG Jia WANG Dardo TOMASI Nora D.VOLKOW Yongzhan NIE Guangbin CUI Gene-Jack WANG Yi ZHANG Department of Radiology Tangdu Hospital Fourth Military Medical University State Key Laboratory of Cancer Biology National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases Fourth Military Medical University Center for Brain Imaging School of Life Science and Technology Xidian University Laboratory of Neuroimaging National Institute on Alcohol Abuse and Alcoholism

Obese subjects show enhanced brain responses in motivation and reward neurocircuitry encompassing sensory and somatic integration-interception, motivation-reward(striatal), emotion, and memory processes, which attenuate frontal region activation during food cues. bariatric surgery(BS) is the only reliable treatment for morbid obesity. Unfortunately, it is unknown how BS affects neurocircuitry after weight loss. We aimed to examine effects of BS on the basal activity of brain areas involved in reward and motivation processing, emotion, memory, and gut-brain interaction. We combined resting-state fMRI with amplitude of low-frequency fluctuation(ALFF) and Granger causality analysis(GCA) to assess interactions between regions within the frontal-mesolimbic circuitry in 16 obese subjects(OB) and 22 normal-weight(NW) *** OB group was studied at baseline and 1 month post BS. Comparisons between OB and NW, and preand post BS showed significant differences in ALFF in areas involved in drive(caudate, orbitofrontal cortex(OFC)), arousal(thalamus), and conditioning/memory(amygdala, hippocampus)(P surgery, and changes in OFC post surgery were associated with alterations in BMI. Overall, the functional connectivity of the OFC was significantly decreased. As it is important for salience attribution and connected to limbic brain regions involved with emotional reactivity and conditioning after BS, its significant association with BMI changes indicates the contribution of OFC changes to the improved control of eating behavi

关键词： fMRI Granger causality analysis obesity bariatric surgery frontal-mesolimbic

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

bariatric surgery proves long-term benefit in patients with cirrhosis

引用

Gastroenterology Report 2021年第3期9卷 252-256,I0002页

作者： Manhal Izzy Mounika Angirekula Barham KAbu Dayyeh Fateh Bazerbachi Kymberly D.Watt Division of Gastroenterology Hepatologyand NutritionVanderbilt University Medical CenterNashvilleTNUSA Division of Gastroenterology and Hepatology Mayo Clinic and FoundationRochesterMNUSA Division of Gastroenterology Massachusetts General HospitalBostonMAUSA

Background:Obesity is commonly observed in patients with cirrhosis,especially with the increasing prevalence of nonalcoholic steatohepatitis(NASH).bariatric surgery has been avoided in these patients given concerns about increased perioperative risk;therefore,data are lacking regarding long-term *** this study,we aimed to evaluate the long-term outcomes of patients with cirrhosis who underwent bariatric ***:We reviewed the charts of adult patients with compensated cirrhosis who underwent bariatric surgery after they were prospectively enrolled between February 23,2009 and November 9,2011,and followed in a pilot study for evaluation of bariatric surgery *** patients with more than 4 years of follow-up were included in the *** regarding their liver disease,metabolic status,and survival were collected.A descriptive analysis was ***:The cohort consisted of 10 patients,of whom 7 were *** median post-surgical follow-up was 8.7 years(61.4 years).All patients had biopsy-proven NASH;two patients had concurrent,untreated hepatitis C *** the observation period,there was a mean weight loss of 24 kg(19.2%of total body weight pre surgery,Psurgery and later *** remainder of the patients did not have any hepatic decompensation,cardiovascular event,or *** for one patient with Gilbert syndrome,bilirubin was normal in all patients at last ***:bariatric surgery in patients with compensated cirrhosis can lead to sustained weight loss and stable hepatic function on long-termfollow-up.

关键词： obesity weight loss bariatric surgery cirrhosis non-alcoholic steatohepatitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

bariatric surgery and diabetes:Current challenges and perspectives

引用

World Journal of Diabetes 2024年第8期15卷 1692-1703页

作者： Yan-Fei He Xiao-Dong Hu Jun-Qiang Liu Hu-Ming Li Shuang-Feng Lu Health Management Center The Sixth Medical CenterChinese PLA General HospitalBeijing 100048China Department of Endocrinology The Sixth Medical CenterChinese PLA General HospitalBeijing 100048China Department of Thoracic surgery The Sixth Medical CenterChinese PLA General HospitalBeijing 100048China Department of Respiratory Medicine The Sixth Medical CenterChinese PLA General HospitalBeijing 100048China

Diabetes mellitus(DM)and obesity have become public issues of global *** surgery for the treatment of obesity combined with type 2 DM has been shown to be a safe and effective approach;however,there are limited studies that have systematically addressed the challenges of surgical treatment of obesity combined with *** this review,we summarize and answer the most pressing questions in the field of surgical treatment of obesity-associated DM.I believe that our insights will be of great help to clinicians in their daily practice.

关键词： bariatric surgery Diabetes mellitus Obesity Metabolic surgery Challenge

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

bariatric surgery and long-term nutritional issues

引用

World Journal of Diabetes 2017年第11期8卷 464-474页

作者： Roberta Lupoli Erminia Lembo Gennaro Saldalamacchia Claudia Kesia Avola Luigi Angrisani Brunella Capaldo Department of Clinical Medicine and surgery Federico Ⅱ University Department of Public Health Federico Ⅱ University

bariatric surgery is recognized as a highly effective therapy for obesity since it accomplishes sustained weight loss, reduction of obesity-related comorbidities and mortality, and improvement of quality of life. Overall, bariatric surgery is associated with a 42% reduction of the cardiovascular risk and 30% reduction of all-cause mortality. This review focuses on some nutritional consequences that can occur in bariatric patients that could potentially hinder the clinical benefits of this therapeutic option. All bariatric procedures, to variable degrees, alter the anatomy and physiology of the gastrointestinal tract; this alteration makes these patients more susceptible to developing nutritional complications, namely, deficiencies of macro-and micro-nutrients, which could lead to disabling diseases such as anemia, osteoporosis, protein malnutrition. Of note is the evidence that most obese patients present a number of nutritional deficits already prior to surgery, the most important being vitamin D and iron deficiencies. This finding prompts the need for a complete nutritional assessment and, eventually, an adequate correction of pre-existing deficits before surgery. Another critical issue that follows bariatric surgery is post-operative weight regain, which is commonly associated with the relapse of obesity-related comorbidities. Nu-tritional complications associated with bariatric surgery can be prevented by life-long nutritional monitoring with the administration of multivitamins and mineral supplements according to the patient's needs.

关键词： bariatric surgery Nutrient deficiency Rouxen-Y gastric bypass Sleeve gastrectomy Pre-operative deficit Weight regain

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

bariatric surgery in patients with non-alcoholic fatty liver disease-from pathophysiology to clinical effects

引用

World Journal of Hepatology 2019年第2期11卷 138-149页

作者： Tea L Laursen Christoffer A Hagemann Chunshan Wei Konstantin Kazankov Karen L Thomsen Filip K Knop Henning Grønbæk Department of Hepatology and Gastroenterology Aarhus University Hospital Gubra ApS Clinical Metabolic Physiology Steno Diabetes Center CopenhagenGentofte Hospital Department of Clinical Medicine Faculty of Health and Medical SciencesUniversity of Copenhagen Department of Hepatology Shenzhen Traditional Chinese Medicine Hospitalthe Fourth Clinical Medical College of Guangzhou University of Chinese Medicine Novo Nordisk Foundation Center for Basic Metabolic Research Faculty of Health and Medical SciencesUniversity of Copenhagen

Non-alcoholic fatty liver disease(NAFLD) is increasingly recognized as a significant liver disease,and it covers the disease spectrum from simple steatosis with a risk of development of non-alcoholic steatohepatitis(NASH) to fibrosis,subsequent cirrhosis,end-stage liver failure,and liver cancer with a potential need for liver *** and NASH are closely related to obesity,metabolic syndrome,and type 2 diabetes(T2 D).The role of gut hormones,especially glucagon-like peptide 1(GLP-1),is important in *** surgery has the potential for inducing great weight loss and may improve the symptoms of metabolic syndrome and T2 *** data demonstrated significant effects of bariatric surgery on GLP-1 and other gut hormones and important lipid metabolic and inflammatory abnormalities in the pathophysiology of ***,bariatric surgery may reverse the pathological liver changes in NAFLD and NASH *** the present review,we describe NAFLD and NASH pathophysiology and the primary effects of bariatric surgery on metabolic *** performed a systematic review of the beneficial and harmful effects and focused on changes in liver disease severity in NAFLD and NASH *** specific focus was liver histopathology as assessed by the invasive liver ***,we reviewed several non-invasive methods used for the assessment of liver disease severity following bariatric surgery.

关键词： Non-alcoholic fatty liver disease Non-alcoholic steatohepatitis bariatric surgery Insulin resistance,Gut hormones Glucagon-like peptide 1 Steatosis Inflammation Fibrosis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

bariatric surgery outcomes following organ transplantation:A review study

引用

World Journal of Experimental Medicine 2022年第5期12卷 92-99页

作者： Milad Kheirvari Hamidreza Goudarzi Mahsa Hemmatizadeh Taha Anbara Microbiology Research Center Pasteur Institute of IranTehran 14758-94433Iran Department of surgery Erfan Niayesh HospitalTehran 14758-94433Iran

Weight gain is a frequent postoperative complication following a solid organ transplant which can be solved by bariatric *** outcomes of bariatric surgery among patients with an organ transplant history are always a challengeable subject for surgeons and surgery *** this review article,we aim to investigate the existence literature about the rates of morbidity and mortality,frequent complications in terms of graft function,remission in diabetes,hypertension,pulmonary and cardiovascular disorders,hepatic and renal functions,and immunosuppressive stability,as well as the safety of bariatric surgery among patients.

关键词： bariatric surgery Organ transplantation Complications

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Turnkey algorithmic approach for the evaluation of gastroesophageal reflux disease after bariatric surgery

引用

Gastroenterology Report 2023年第1期11卷 123-130页

作者： Omar M.Ghanem Rabih Ghazi Farah Abdul Razzak Fateh Bazerbachi Karthik Ravi Leena Khaitan Shanu N.Kothari Barham K.Abu Dayyeh Department of surgery Mayo ClinicRochesterMNUSA Department of Medicine Mayo ClinicRochesterMNUSA CentraCare Interventional Endoscopy ProgramSt Cloud HospitalSt CloudMNUSA Department of surgery CaseWestern Reserve UniversityClevelandOHUSA Department of surgery Prisma HealthGreenvilleSCUSA

bariatric surgeries are often complicated by de-novo gastroesophageal reflux disease(GERD)or worsening of pre-existing *** growing rates of obesity and bariatric surgeries worldwide are paralleled by an increase in the number of patients requiring post-surgical GERD ***,there is currently no standardized approach for the assessment of GERD in these *** this review,we delineate the relationship between GERD and the most common bariatric surgeries:sleeve gastrectomy(SG)and Roux-en-Y gastric bypass(RYGB),with a focus on pathophysiology,objective assessment,and underlying anatomical and motility *** suggest a stepwise algorithm to help diagnose GERD after SG and RYGB,determine the underlying cause,and guide the management and treatment.

关键词： RYGB sleeve gastrectomy bariatric surgery gastroesophageal reflux disease GERD

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Early Clinical Efficacy of Laparoscopic Sleeve Gastrectomy as a bariatric surgery for Obese Patients: A Uni-center Report in China

引用

Biomedical and Environmental Sciences 2013年第7期26卷 539-545页

作者： YANG Jian Jun WANG Bing LIANG Yong Kang SONG Zhi Cheng GU Yan Department of General surgery Affiliated Shanghai No.9 People's Hospital of Shanghai Jiaotong University Medical School

Objective To report the experience with laparoscopic sleeve gastrectomy as a bariatric surgery in our center. Methods Twenty obese patients were followed up for i year after receiving laparoscopic sleeve gastrectomy as a bariatric surgery in our center from January 2009 to October 2010, during which their general conditions, complications, and improvement of obesity-related diseases were assessed. Results Of the 20 patients, 19 underwent laparoscopic sleeve gastrectomy and 1 underwent open sleeve gastrectomy with no death occurred. The average weight loss was 36.4＋10.0 kg, the average BMI decreased from 46.1＋11.5 to 33.6＋5.6 kg/m2, and the excess weight loss was 55.9%＋14.2% one year after the operation. The majority of obesity-related diseases were improved. In one year after the operation, excellent, good, fairly good and poor scores were achieved in 2 （10.0%）, 8 （40.0%）, 7 （35.0%）, and 3 patients （15.0%）, respectively. Conclusion Laparoscopic sleeve gastrectomy as a bariatric surgery is a safe and feasible procedure for obesity with excellent short-term effects. More studies with a long-term follow-up are needed to validate its benefits.

关键词： Obesity bariatric surgery Laparoscope Gastrectomy

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Influence of obesity and bariatric surgery on gastric cancer

引用

Cancer Biology & Medicine 2016年第2期13卷 269-276页

作者： Anna Carolina Batista Dantas Marco Aurelio Santo Roberto de Cleva Rubens Antonio Aissar Sallum Ivan Cecconello Department of Digestive surgery University of Sao Paulo School of Medicine Sao Paulo-SP 05403-000 Brazil

Esophageal and gastric cancer(GC) are related to obesity and bariatric surgery. Risk factors, such as gastroesophageal reflux and Helicobacter pylori, must be investigated and treated in obese population. After surgery, GC reports are anecdotal and treatment is not standardized. This review aims to discuss GC related to obesity before and after bariatric surgery.

关键词： Obesity bariatric surgery stomach neoplasms esophageal neoplasms

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Study of the patency of different peritoneal drains used prophylactically in bariatric surgery

引用

World Journal of Gastroenterology 2009年第19期15卷 2340-2344页

作者： Wilson Salgado Júnior Marcelo Martins Macedo Neto José Sebastio dos Santos Ajith Kumar Sakarankutty Reginaldo Ceneviva Orlando de Castro e Silva Jr Department of surgery and Anatomy Medical School of Ribeiro Preto of the University of So PauloR.Antnio Chiericato760Ribeiro Preto-SP 14096-510Brazil

AIM:To compare the performance of different types of abdominal drains used in bariatric ***:A vertical banded Roux-en-Y gastric bypass was performed in 33 morbidly obese *** of the peritoneal cavity was performed in each case using three different types of drain selected in a randomized manner:a latex tubular drain,a Watterman tubulolaminar drain,and a silicone channeled *** permeability,contamination of the drained fluid,ease of handling,and patient discomfort were evaluated postoperatively over a period of 7 ***:The patients with the silicone channeled drain had larger volumes of drainage compared to patients with tubular and tubulolaminar drains between the third and seventh postoperative *** addition,a lower incidence of discomfort and of contamination with bacteria of a more pathogenic profile was observed in the patients with the silicone channeled ***:The silicone channeled drain was more comfortable and had less chance of occlusion,which is important in the detection of delayed dehiscence.

关键词： bariatric surgery Contamination Drains Gastric leak Patency Peritonitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：