A case of chronic tophi gout in morbidly obese patient after laparoscopic adjustable gastric banding
| Autor: | Marina Yu. Mishko, Kirill E. Kushnarenko, Tatyana Medvedeva, Natalia Kushnarenko |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
obesity Nutrition and Dietetics business.industry Physiology Endocrinology Diabetes and Metabolism bariatric surgery Public Health Environmental and Occupational Health hyperuricemia QD415-436 Morbidly obese medicine.disease Biochemistry metabolic syndrome Surgery Gout Endocrinology gout Internal Medicine medicine case report QP1-981 business Laparoscopic adjustable gastric banding |
| Zdroj: | Ожирение и метаболизм, Vol 17, Iss 1, Pp 93-99 (2020) |
| ISSN: | 2306-5524 2071-8713 |
| Popis: | Currently, increasing attention is being paid to studying the metabolic activity of adipose tissue, a source of biologically active mediators involved in vascular remodeling, immunological and inflammatory reactions. Today obesity is considered not only as independent risk factor of development of chronic noninfectious diseases (such as arterial hypertension, diabetes mellitus types 2, pathology of a cardiovascular system, malignant neoplasms), but also as a significant predictor of metabolic disorders (dyslipidemia, insulin resistance, hyperuricemia), contributes to the early formation of metabolic syndrome and goat. Despite such an obvious problem, the current state of conservative therapy for overweight and obesity remains unsatisfactory. Most of patients, even after successful treatment, have a recurrence of the disease with the restoration of the initial anthropometric indicators or even an increase in body weight. In this regard, currently more widely used surgical methods of correction of obesity. However along with the expected positive effects of treatment bariatric surgery may be accompanied by the development of a number of specific surgical complications and impaired energy metabolism with aggravation of the existing polymorbid pathology. This clinical case demonstrates the association of obesity with the development of metabolic disorders, illustrates the development of severe tophaceous gout in a patient during 2 years after laparoscopic gastric banding. It shows the possible reasons for its debut and reflects the dynamics of the patients condition, as well as the nature and characteristics of the course of the joint syndrome in the postoperative period. |
| Databáze: | OpenAIRE |
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