Effects of bariatric surgery on bone

被引:10
作者
Uebelhart, Brigitte [1 ]
机构
[1] Hop Cantonal Univ Geneva, Serv Malad Osseuses, Dept Specialites Med, Fac Med Geneve, 4 Rue Gabrielle Perret Gentil, CH-1205 Geneva, Switzerland
关键词
Bone mineral density; Fractures; Biochemical bone turnover markers; Y GASTRIC BYPASS; MINERAL METABOLISM; PARATHYROID-HORMONE; LONG-TERM; OBESITY; DENSITY; DEFICIENCY; TURNOVER; INCREASE; CALCIUM;
D O I
10.1016/j.jbspin.2016.02.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Bariatric surgery currently relies on combinations of restrictive and malabsorptive procedures. Early decreases in bone mineral density (BMD) have been reported. However, the accuracy of dual-energy X-ray absorptiometry used to measure BMD can be diminished by the major weight loss, whereas quantitative computed tomography (QCT) measurements are less affected. The nutritional deficiencies induced by mixed bariatric surgery procedures, together with changes in hormones produced by adipocytes and/or the gastrointestinal tract, are often associated with elevations in serum levels of bone resorption markers. Although the data are limited, the incidence of fractures does not seem higher after bariatric surgery than in non-operated obese patients. (C) 2016 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:271 / 275
页数:5
相关论文
共 34 条
[1]   Reduced bone mineral density after surgical treatment for obesity [J].
Bano, G ;
Rodin, DA ;
Pazianas, M ;
Nussey, SS .
INTERNATIONAL JOURNAL OF OBESITY, 1999, 23 (04) :361-365
[2]   Incidence of bone loss, falls, and fractures after Roux-en-Y gastric bypass for morbid obesity [J].
Berarducci, Adrienne ;
Haines, Krista ;
Murr, Michel M. .
APPLIED NURSING RESEARCH, 2009, 22 (01) :35-41
[3]  
Bischoff-Ferrari HA, 2012, FORUM MED SUISSE, V12, P775
[4]   Serum Markers of Bone Turnover Are Increased at Six and 18 Months after Roux-En-Y Bariatric Surgery: Correlation with the Reduction in Leptin [J].
Bruno, Carolina ;
Fulford, Angie D. ;
Potts, Jenna R. ;
McClintock, Ronald ;
Jones, RoseMarie ;
Cacucci, Brenda M. ;
Gupta, Christine E. ;
Peacock, Munro ;
Considine, Robert V. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2010, 95 (01) :159-166
[5]   Bariatric surgery, bone loss, obesity and possible mechanisms [J].
Brzozowska, M. M. ;
Sainsbury, A. ;
Eisman, J. A. ;
Baldock, P. A. ;
Center, J. R. .
OBESITY REVIEWS, 2013, 14 (01) :52-67
[6]   Weight and Type 2 Diabetes after Bariatric Surgery: Systematic Review and Meta-analysis [J].
Buchwald, Henry ;
Estok, Rhonda ;
Fahrbach, Kyle ;
Banel, Deirdre ;
Jensen, Michael D. ;
Pories, Walter J. ;
Bantle, John P. ;
Sledge, Isabella .
AMERICAN JOURNAL OF MEDICINE, 2009, 122 (03) :248-U81
[7]   Gastric bypass surgery for morbid obesity leads to an increase in bone turnover and a decrease in bone mass [J].
Coates, PS ;
Fernstrom, JD ;
Fernstrom, MH ;
Schauer, PR ;
Greenspan, SL .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (03) :1061-1065
[8]  
Collazo-Clavell Maria L, 2004, Endocr Pract, V10, P195
[9]   Surgery for obesity [J].
Colquitt, Jill L. ;
Picot, Joanna ;
Loveman, Emma ;
Clegg, Andrew J. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2009, (02)
[10]   Effects of vertical-banded gastroplasty on bone and mineral metabolism in obese patients [J].
Cundy, T ;
Evans, MC ;
Kay, RG ;
Dowman, M ;
Wattie, D ;
Reid, IR .
BRITISH JOURNAL OF SURGERY, 1996, 83 (10) :1468-1472