scholarly journals Obesity, metabolic syndrome and bariatric surgery: A narrative review

2020 ◽  
Vol 11 (2) ◽  
pp. 294-296
Author(s):  
Weiping Jia
Keyword(s):  
Bariatric Surgery ◽  
Metabolic Syndrome ◽  
Narrative Review

Bases conceptuales de la cirugía metabólica

2021 ◽  
Vol 64 (3) ◽  
pp. 6-19
Author(s):  
Juan Carlos Arana Reyes ◽  
Fernando Cerón Rodríguez ◽  
Juan Javier Díaz Rodríguez ◽  
Raúl Vázquez Pelcastre ◽  
Rodolfo Aparicio Ponce ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Metabolic Syndrome ◽  
Cell Function ◽  
Glycosylated Hemoglobin ◽  
Insulin Resistance Syndrome ◽  
Mini Gastric Bypass ◽  
Lifestyle Modifications ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Quitting Smoking

The term Metabolic Syndrome (MS) has been used since its introduction in 2001 by the National Cholesterol Program (NCEP: ATP III). The concept has been discussed in the scientific literature for decades. The X Syndrome and other terms such as "death quartet" and insulin resistance syndrome have been used to describe the association between metabolic and cardiovascular risk factors. In Mexico, the prevalence of MS in the National Health and Nutrition Survey (Encuesta Nacional de Salud y Nutrición, ENSANUT) was 34% in 2000 and 41% in 2012. Lifestyle modifications along with increased physical activity, quitting smoking, and limiting alcohol consumption are essential for management and prevention because they play a central role in metabolic abnormalities. However, despite the large amount of medications available for diabetes, up to 50% of patients have been reported to fail to achieve adequate control goals, as defined by the American Diabetes Association (glycosylated hemoglobin <7%). In contrast, bariatric surgery (BS) has clearly confirmed that it contributes to improved beta cell function in patients with BMI > 35 kg / m 2 , as well as control of dyslipidemia and other metabolic disorders. Keywords: Metabolic surgery; surgery and metabolic syndrome; syndrome X; mini gastric bypass; bypass of an anastomosis; Roux-en-Y bypass; bariatric surgery.

Bariatric surgery and skeletal health: A narrative review and position statement for management by the European Calcified Tissue Society (ECTS)

Bone ◽  
2021 ◽  
pp. 116236
Author(s):  
Julien Paccou ◽  
Elena Tsourdi ◽  
Christian Meier ◽  
Andrea Palermo ◽  
Jessica Pepe ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Position Statement ◽  
Narrative Review ◽  
Skeletal Health ◽  
Calcified Tissue

scholarly journals Bariatric Surgery in Adults: Patient Workup and Preparation

2020 ◽  
pp. 8-14
Author(s):  
Ravi Kant ◽  
Shankar Roy ◽  
Pradeep Yadav KL ◽  
Monika Pathania
Keyword(s):  
Risk Factors ◽  
Metabolic Disease ◽  
Bariatric Surgery ◽  
Metabolic Syndrome ◽  
Morbid Obesity ◽  
Life Style ◽  
Point Of View ◽  
Related Complication ◽  
Initial Intervention ◽  
Work Up

With the advancement and industrialization of our society, the prevalence of metabolic disease is also increasing. Among the risk factors for metabolic syndrome and many other non-communicable diseases, obesity is the single most important one. Although life style and pharmacological therapies are the part of initial intervention, however once the overt obesity related complication appears, bariatric surgery becomes the only curative intervention. Various modalities surgeries have come into place in recent times. However preparing a patient physically and mentally needs a thorough pre- operative preparation. Here in this review, we are exploring the approach to patient with morbid obesity and work up for bariatric surgery from a physician’s point of view.

scholarly journals A bélbakterióta élettani jellemzői és a dysbacteriosis szerepe az elhízásban, inzulinrezisztenciában, diabetesben és metabolikus szindrómában

2016 ◽  
Vol 157 (1) ◽  
pp. 13-22 ◽  
Author(s):  
Tamás Halmos ◽  
Ilona Suba
Keyword(s):  
Bariatric Surgery ◽  
Metabolic Syndrome ◽  
Circadian Rhythm ◽  
Intestinal Microbiota ◽  
Short Chain Fatty Acids ◽  
Diabetic Patients ◽  
Fecal Transplant ◽  
Fecal Transplantation ◽  
Brain Functions ◽  
The Brain

The intestinal microbiota is well-known for a long time, but due to newly recognized functions, clinician’s attention has turned to it again in the last decade. About 100 000 billion bacteria are present in the human intestines. The composition of bacteriota living in diverse parts of the intestinal tract is variable according to age, body weight, geological site, and diet as well. Normal bacteriota defend the organism against the penetration of harmful microorganisms, and has many other functions in the gut wall integrity, innate immunity, insulin sensitivity, metabolism, and it is in cross-talk with the brain functions as well. Brand new recognition, that intestinal microbiota has a direct effect on the brain, and the brain also influences the microbiota. This two-way gut–brain axis consists of microbiota, immune and neuroendocrine system, as well as autonomous and central nervous system. Emerging from fermentation of carbohydrates, short-chain fatty acids develop into the intestines, which produce butyrates, acetates and propionates, having favorable effects on different metabolic processes. Composition of the intestinal microbiota is affected by the circadian rhythm, such as in shift workers. Dysruption of circadian rhythm may influence intestinal microbiota. The imbalance between the microbiota and host organism leads to dysbacteriosis. From the membrane of Gram-negative bacteria lipopolysacharides penetrate into the blood stream, via impaired permeability of the intestinal mucosa. These processes induce metabolic endotoxaemia, inflammation, impaired glucose metabolism, insulin resistance, obesity, and contribute to the development of metabolic syndrome, type 2 diabetes, inflammarory bowel diseases, autoimmunity and carcinogenesis. Encouraging therapeutic possibility is to restore the normal microbiota either using pro- or prebiotics, fecal transplantation or bariatric surgery. Human investigations seem to prove that fecal transplant from lean healthy individuals into obese diabetic patients improved all the pathological parameters. Wide spread use of bariatric surgery altered gut microbiota and improved metabolic parameters apart from surgery itself. Pathomechanism is not yet cleared up. Clinicians hope, that deeper understanding of complex functions of intestinal microbiota will contribute to develop more effective therapeutic proceedings against diabetes, metabolic syndrome, and obesity. Orv. Hetil., 2016, 157(1), 13–22.

Sign in / Sign up

Export Citation Format

Share Document