Metabolic, Renal, and Nutritional Consequences of Bariatric Surgery: Implications for the Clinician
| Autor: | Veeraish Chauhan, Akhil Parashar, Mohit Gupta, Atul Kalanuria, Megha Vaid |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
business.industry MEDLINE Bariatric Surgery Renal function General Medicine Type 2 diabetes medicine.disease Obesity Nutrition Disorders Obesity Morbid Surgery Insulin resistance Weight loss Hypertension Humans Kidney Failure Chronic Medicine Disease prevention Insulin Resistance medicine.symptom Metabolic syndrome business |
| Zdroj: | Southern Medical Journal. 103:775-785 |
| ISSN: | 0038-4348 |
| Popis: | Management of obesity-associated comorbidities costs about $60 billion/year, about 5% of total US healthcare expenditure. Bariatric surgery is the only proven effective weight loss therapy for severely obese patients with a BMIor =35 kg/m2. Bariatric surgery produces long-term weight loss, improves quality of life, and reduces the number of sick days and medication costs. Surgery has a profound effect on the metabolic milieu and nutritional status from the first few days after surgery, even before significant weight loss has been achieved. Metabolic effects of bariatric surgery reduce obesity-related comorbidities like type 2 diabetes, hypertension, metabolic syndrome, and cardiovascular disease risk. Improvement in renal function is seen, but adverse effects like oxalate nephropathy can lead to chronic kidney disease or end-stage renal disease (CKD/ESRD). Surgery can also lead to micronutrient deficiencies, making dietary supplementation necessary. Reduction in insulin resistance and hypertension after surgery makes medication adjustment imperative. Improvement in comorbidities and nutritional deficiencies after bariatric surgery has important clinical implications. |
| Databáze: | OpenAIRE |
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