Journal of Surgery Concepts & Practice ›› 2020, Vol. 25 ›› Issue (05): 413-416.doi: 10.16139/j.1007-9610.2020.05.012
• Original article • Previous Articles Next Articles
TIAN Peirong, LIU Yang, BIAN Shibo, LI Mengyi, ZHANG Meng, LIU Jia, JIN Lan, ZHANG Zhongtao(), ZHANG Peng(
)
Received:
2020-08-05
Online:
2020-09-25
Published:
2022-07-27
CLC Number:
TIAN Peirong, LIU Yang, BIAN Shibo, LI Mengyi, ZHANG Meng, LIU Jia, JIN Lan, ZHANG Zhongtao, ZHANG Peng. Effect of bariatric and metabolic surgery on anemia related parameters: a retrospective study[J]. Journal of Surgery Concepts & Practice, 2020, 25(05): 413-416.
项目 | SG组 | RYGB组 | P值 |
---|---|---|---|
体重(kg) | |||
术前 | 97.83±17.27 | 95.69±16.09 | 0.513 |
术后3个月 | 77.92±13.43 | 77.43±13.50 | 0.878 |
术后6个月 | 72.46±12.07 | 76.08±11.57 | 0.441 |
体重减轻量(kg) | |||
术后3个月 | 19.54±5.71 | 18.68±8.43 | 0.595 |
术后6个月 | 27.05±9.45 | 22.70±11.22 | 0.257 |
BMI | |||
术前 | 35.12±6.62 | 33.70±5.14 | 0.139 |
术后3个月 | 28.13±3.85 | 26.63±4.22 | 0.114 |
术后6个月 | 26.16±3.47 | 25.31±2.82 | 0.518 |
%TWL(%) | |||
术后3个月 | 19.95±4.41 | 18.90±6.42 | 0.395 |
术后6个月 | 26.92±6.51 | 22.20±7.52 | 0.075 |
项目 | SG组 | RYGB组 | P值 | |
---|---|---|---|---|
空腹血糖(mmol/L) | ||||
术前 | 5.63±1.74 | 8.60±3.70 | <0.001# | |
术后3个月 | 4.77±0.80 | 6.17±2.97 | 0.030* | |
术后6个月 | 4.70±0.63 | 6.92±1.36 | 0.002# | |
餐后2 h血糖(mmol/L) | ||||
术前 | 10.27±4.03 | 16.92±5.57 | <0.001# | |
术后3个月 | 5.83±2.27 | 8.01±3.78 | 0.021* | |
术后6个月 | 5.16±1.37 | 7.20±1.76 | 0.040* | |
糖化血红蛋白(%) | ||||
术前 | 5.83±0.83 | 8.45±2.49 | <0.001# | |
术后3个月 | 5.22±0.49 | 5.94±1.16 | 0.008# | |
术后6个月 | 5.29±0.50 | 6.37±0.65 | <0.001# | |
糖化血红蛋白降低绝对值(与术前比)(%) | ||||
术后3个月 | 0.73±0.83 | 2.11±1.90 | 0.001# | |
术后6个月 | 0.69±0.90 | 2.31±1.54 | <0.001# |
项目 | SG组 | RYGB组 | P值 |
---|---|---|---|
血红蛋白(g/L) | |||
术前 | 141.36±15.86 | 135.68±16.96 | 0.078 |
术后3个月 | 135.67±14.25 | 129.93±13.04 | 0.082 |
术后6个月 | 137.41±15.21 | 136.14±9.04 | 0.833 |
血清铁(μmol/L) | |||
术前 | 15.42±4.79 | 13.68±4.48 | 0.057 |
术后3个月 | 15.13±5.17 | 11.75±4.81 | 0.024* |
术后6个月 | 14.91±4.48 | 14.79±7.16 | 0.962 |
铁蛋白(μg/L) | |||
术前 | 123.25±146.27 | 122.43±114.71 | 0.975 |
术后3个月 | 146.27±182.21 | 107.24±83.25 | 0.336 |
术后6个月 | 131.01±128.31 | 129.26±176.21 | 0.435 |
叶酸(ng/L) | |||
术前 | 8.94±4.41 | 8.86±4.04 | 0.920 |
术后3个月 | 12.29±6.86 | 12.98±6.22 | 0.697 |
术后6个月 | 11.14±7.03 | 13.33±7.68 | 0.574 |
维生素B12(ng/L) | |||
术前 | 385.21±162.71 | 421.42±202.73 | 0.313 |
术后3个月 | 457.70±272.43 | 450.11±183.55 | 0.906 |
术后6个月 | 381.62±185.25 | 327.46±364.44 | 0.170 |
[1] | Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials[J]. BMJ, 2013, 347:f5934. |
[2] | Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes[J]. N Engl J Med, 2012, 366(17):1567-1576. |
[3] | Mingrone G, Panunzi S, De Gaetano A, et al. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial[J]. Lancet, 2015, 386(9997):964-973. |
[4] |
Madsbad S, Holst JJ. Bariatric surgery-which procedure is the optimal choice?[J]. Lancet, 2019, 393(10178):1263-1264.
doi: S0140-6736(19)30489-1 pmid: 30851878 |
[5] |
Puzziferri N, Roshek TB 3rd, Mayo HG, et al. Long-term follow-up after bariatric surgery: a systematic review[J]. JAMA, 2014, 312(9):934-942.
doi: 10.1001/jama.2014.10706 pmid: 25182102 |
[6] |
Arterburn DE, Olsen MK, Smith VA, et al. Association between bariatric surgery and long-term survival[J]. JAMA, 2015, 313(1):62-70.
doi: 10.1001/jama.2014.16968 pmid: 25562267 |
[7] |
Peterli R, Wölnerhanssen BK, Peters T, et al. Effect of laparoscopic sleeve gastrectomy vs. laparoscopic Roux-en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS Randomized Clinical Trial[J]. JAMA, 2018, 319(3):255-265.
doi: 10.1001/jama.2017.20897 pmid: 29340679 |
[8] | Bal BS, Finelli FC, Shope TR, et al. Nutritional deficiencies after bariatric surgery[J]. Nat Rev Endocrinol, 2012, 8(9):544-556. |
[9] |
Salgado W Jr, Modotti C, Nonino CB, et al. Anemia and iron deficiency before and after bariatric surgery[J]. Surg Obes Relat Dis, 2014, 10(1):49-54.
doi: 10.1016/j.soard.2013.06.012 pmid: 24071485 |
[10] |
中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 中国肥胖和2型糖尿病外科治疗指南(2014)[J]. 中国实用外科杂志, 2014, 34(11):1005-1010.
doi: 10.7504/CJPS.ISSN1005-2208.2014.11.01 |
[11] | Ledoux S, Calabrese D, Bogard C, et al. Long-term evolution of nutritional deficiencies after gastric bypass: an assessment according to compliance to medical care[J]. Ann Surg, 2014, 259(6):1104-1110. |
[12] | Ruz M, Carrasco F, Rojas P, et al. Heme- and nonheme-iron absorption and iron status 12 mo after sleeve gastrectomy and Roux-en-Y gastric bypass in morbidly obese women[J]. Am J Clin Nutr, 2012, 96(4):810-817. |
[13] |
Steenackers N, van der Schueren B, Mertens A, et al. Iron deficiency after bariatric surgery: what is the real problem?[J]. Proc Nutr Soc, 2018, 77(4):445-455.
doi: 10.1017/S0029665118000149 pmid: 29619914 |
[14] |
McCracken E, Wood GC, Prichard W, et al. Severe anemia after Roux-en-Y gastric bypass: a cause for concern[J]. Surg Obes Relat Dis, 2018, 14(7):902-909.
doi: S1550-7289(18)30152-7 pmid: 29735346 |
[15] | Kwon Y, Kim HJ, Lo Menzo E, et al. Anemia, iron and vitamin B12 deficiencies after sleeve gastrectomy compared to Roux-en-Y gastric bypass: a meta-analysis[J]. Surg Obes Relat Dis, 2014, 10(4):589-597. |
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