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Risk of anemia in morbidly obese patients after bariatric surgery in Taiwan

World Journal of Diabetes 2020年第10期11卷 447-458页

作者： Tse-Yao Wang Hsien-Hao Huang Ming-Shun Hsieh Chih-Yen Chen Department of Emergency Medicine Taipei Veterans General HospitalTaipei 112Taiwan College of Medicine National Yang-Ming University of MedicineTaipei 112Taiwan Department of Emergency Medicine Taipei Veterans General HospitalTaoyuan BranchTaoyuan 330Taiwan Institute of Occupational Medicine and Industrial Hygiene National Taiwan University College of Public HealthTaipei 112Taiwan Division of Gastroenterology and Hepatology Department of MedicineTaipei Veterans General HospitalTaipei 112Taiwan Faculty of Medicine and Institute of Emergency and Critical Medicine National Yang-Ming University School of MedicineTaipei 112Taiwan Chinese Taipei Society for the Study of Obesity Taipei 110Taiwan

BACKGROUND Bariatric surgery is one of most effective long-term treatments for morbid ***,post-bariatric surgery anemia is identified as a common adverse effect and remains a challenge *** To estimate the risk of post-bariatric surgery anemia and to stratify the association between age,gender,and types of *** This study is a population-based cohort *** conducted this nationwide study using claims data from National Health Insurance Research Database in *** were 4373 morbidly obese patients in this study *** Among patients who were diagnosed with morbid obesity,2864 received bariatric *** obesity-associated comorbidities decreased in the surgical *** risk of post-bariatric surgery anemia among obese patients was found by Cox proportional hazards regression[adjusted hazard ratio(HR):2.36].Also,we found significantly increasing cumulative incidence rate of anemia among patients receiving bariatric surgery by log-rank *** adjusting for age and gender,the increasing incidence of post-bariatric surgery anemia was found among women(adjusted HR:2.48),patients in the 20–29-year-old group(adjusted HR:3.83),and patients in the 30-64-year-old group(adjusted HR:2.37).Moreover,malabsorptive and restrictive procedures had significantly higher adjusted HRs,3.18 and 1.55,*** Bariatric surgery give rise to anemia risk among obese patients,specifically in women,young-and middle-aged patients,and patients undergoing malabsorptive procedures in our population-based cohort study in Taiwan.

关键词： Anemia Bariatric surgery Malabsorptive procedure Obesity restrictive procedure Women

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