Consequences of bariatric surgery on outcomes in rheumatic diseases
Autor: | Hechmi Toumi, Emneh Hammoud, Nada Ibrahim-Nasser, Eric Lespessailles |
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Přispěvatelé: | Imagerie Multimodale Multiéchelle et Modélisation du Tissu Osseux et articulaire (I3MTO), Université d'Orléans (UO) |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
0301 basic medicine
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Fibromyalgia Gout Osteoporosis Review 03 medical and health sciences Psoriatic arthritis 0302 clinical medicine Bone Density Internal medicine Rheumatic Diseases Osteoarthritis Weight Loss medicine Humans Low back pain Obesity Rheumatoid arthritis ComputingMilieux_MISCELLANEOUS Adiposity 030203 arthritis & rheumatology Bariatric surgery business.industry Body Weight Type 2 Diabetes Mellitus medicine.disease Rheumatology 3. Good health Surgery 030104 developmental biology Diabetes Mellitus Type 2 [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system Orthopedic surgery Hypertension lcsh:RC925-935 business |
Zdroj: | Arthritis Research & Therapy Arthritis Research & Therapy, BMC, 2019, 21 (1), ⟨10.1186/s13075-019-1869-z⟩ Arthritis Research & Therapy, Vol 21, Iss 1, Pp 1-8 (2019) |
ISSN: | 1478-6362 |
Popis: | Obesity is associated with numerous comorbidities including some rheumatic conditions. Through adipose-derived inflammation, obesity has been shown to induce increased initiation, progression, and worse responses on outcomes of rheumatic diseases. Bariatric surgery is being increasingly used thanks to its positive effects on major comorbidities such as type 2 diabetes mellitus and hypertension. Consequently, surgically induced weight and adipose tissue losses might play a role in the course of rheumatic conditions. The present narrative literature review aims to provide rheumatologists with an update on both the positive and negative effects of bariatric surgery on the rheumatic outcomes reported in the literature. Current evidence seems to show improved outcomes in obese populations with rheumatic disorders after bariatric surgery. However, rigorous prospective controlled studies with long follow-up are needed. Bariatric procedures have deleterious effects on bone and are associated with an increased risk of fractures. |
Databáze: | OpenAIRE |
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