Long-Term Effects of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy on Bone Mineral Density: a 4-Year Longitudinal Study
العنوان: | Long-Term Effects of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy on Bone Mineral Density: a 4-Year Longitudinal Study |
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المؤلفون: | Emilie Pupier, N. Mehsen-Cetre, Blandine Gatta-Cherifi, Maud Monsaingeon-Henry, F. Tremollieres, C Gronnier, O Degrandi, Denis Collet, L. Bosc, O. Cadart, T. Barnetche |
المصدر: | Obesity Surgery. 30:3317-3325 |
بيانات النشر: | Springer Science and Business Media LLC, 2020. |
سنة النشر: | 2020 |
مصطلحات موضوعية: | Bone mineral, medicine.medical_specialty, Sleeve gastrectomy, Nutrition and Dietetics, Bone density, business.industry, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Urology, nutritional and metabolic diseases, Parathyroid hormone, 030209 endocrinology & metabolism, medicine.disease, Roux-en-Y anastomosis, Obesity, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, medicine, Vitamin D and neurology, 030211 gastroenterology & hepatology, Surgery, business, Femoral neck |
الوصف: | Bone mineral density (BMD) declines in the initial years after bariatric surgery, but long-term skeletal effects are unclear and comparisons between sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are rare. An observational longitudinal study of obese patients undergoing SG or RYGB was performed. Whole-body (WB) BMD, along with BMD of the total hip (TH), femoral neck (FN), and lumbar spine (LS), was measured by dual-energy X-ray absorptiometry (DXA) before surgery and yearly thereafter for 4 years. Calciotropic hormones were also measured. Forty-seven patients undergoing RYGB surgery and 28 patients undergoing SG were included. Four years after RYGB, BMD declined by 2.8 ± 5.8% in LS, 8.6 ± 5% in FN, 10.9 ± 6.3% in TH, and 4.2 ± 6.2% in WB, relative to baseline. For SG, BMD declined by 8.1 ± 5.5% in FN, 7.7 ± 6% in TH, 2.0 ± 7.2% in LS, and 2.5 ± 6.4% in WB after 4 years, relative to baseline. Vitamin D levels increased with supplementation in both groups. Whereas parathyroid hormone levels increased slightly in the RYGB group, they decreased modestly in the SG group (P |
تدمد: | 1708-0428 0960-8923 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::3e30b4b29bdbb02c2236008943314ffe https://doi.org/10.1007/s11695-020-04568-3 |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi...........3e30b4b29bdbb02c2236008943314ffe |
قاعدة البيانات: | OpenAIRE |
تدمد: | 17080428 09608923 |
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