Lancet Diabetes Endo:减肥手术对肥胖糖尿病患者疗效差异研究

2019-11-04 MedSci MedSci原创

胃旁路术对肥胖糖尿病患者的治疗效果优于袖状胃切除术

对于患有肥胖症的II型糖尿病患者,减轻体重可改善胰岛素敏感性和细胞功能,诱导糖尿病缓解。近日研究人员比较两种最常见的减肥手术--旁路vs袖状切除术对糖尿病和肠细胞功能的影响。

研究在挪威开展,18岁以上肥胖的II型糖尿病患者参与研究,随机接受胃旁路或袖状胃切除术。研究的主要终点为糖尿病缓解比例(糖化血红蛋白≤6.0%)。次要终点包括糖耐量测试胰岛细胞功能。

109名患者参与研究,其中54人接受胃旁路术,55人接受袖状胃切除术,98%的患者完成1年随访。研究发现,胃旁路术组患者糖尿病缓解率高于袖状胃切除术组(风险差异27%,RR=1.57)。二种手术均改善患者糖耐量测试结果。在胃旁路术组10名患者出现早期并发症,17人出现晚期不良事件,而袖状胃切除术组分别为8和22人。未发生治疗导致的死亡。

研究发现,胃旁路术对肥胖糖尿病患者的治疗效果优于袖状胃切除术。

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    2020-02-12 howi
  5. [GetPortalCommentsPageByObjectIdResponse(id=1902341, encodeId=b06b19023417a, content=<a href='/topic/show?id=c097591ed5' target=_blank style='color:#2F92EE;'>#Diabetes#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5917, encryptionId=c097591ed5, topicName=Diabetes)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0045169, createdName=木头人513, createdTime=Sat Dec 14 05:20:00 CST 2019, time=2019-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1639254, encodeId=661d1639254ff, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Thu Jul 23 20:20:00 CST 2020, time=2020-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1761230, encodeId=ccf51e6123060, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Thu Mar 26 23:20:00 CST 2020, time=2020-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830313, encodeId=446018303137a, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Wed Feb 12 22:20:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474842, encodeId=540614e484273, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Wed Nov 06 09:20:00 CST 2019, time=2019-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032321, encodeId=423910323217c, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Mon Nov 04 21:20:00 CST 2019, time=2019-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1042795, encodeId=f48a1042e95af, content=谢谢MedSci提供最新的资讯, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=misszhang, createdTime=Mon Nov 04 21:20:00 CST 2019, time=2019-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048284, encodeId=659d10482843b, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Mon Nov 04 21:20:00 CST 2019, time=2019-11-04, status=1, ipAttribution=)]
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    2019-11-04 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2019-11-04 misszhang

    谢谢MedSci提供最新的资讯

    0

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    2019-11-04 CHANGE

    什么时候有懒人用的减肥神药?

    0

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NEJM:自动化胰岛素注射闭环系统用于I型糖尿病治疗

自动化胰岛素注射闭环系统可更好的控制I型糖尿病患者血糖

白细胞介素4/13单抗Dupixent销售额持续增长,但未能扭转赛诺菲因流感疫苗和糖尿病药物导致的整体销售额下降

赛诺菲(Sanofi)报告第三季度销售额下降,原因是其免疫学药物Dupixent的销售额增加无法抵消其疫苗和初级保健业务的下跌。Dupixent是一种全人源化单克隆抗体,特异性抑制两种炎症因子白细胞介素IL-4和IL-13的过度激活,而这两种炎症因子是特应性皮炎、哮喘和嗜酸细胞性食管炎等关键的驱动因素。

Sci Tran Med:“喝茶” 可控制血糖稳态

华东师范大学生命科学学院研究员叶海峰团队成功研发绿茶代谢物原儿茶酸(PCA)调控的基因表达控制系统,并将该系统应用于可控的表观遗传重塑、基因编辑、生物计算机及精准药物递送治疗糖尿病。10 月 24 日,该成果以封面文章形式在线发表于《科学—转化医学》。

Mol Nutr Food Res:控制肥胖还预防糖尿病,牛油果为糖尿病药物带来新希望

近年来,牛油果已经各大社交平台上的健康网红食材,并成为千禧一代最为钟爱的一种食物。新的研究表明:牛油果中的一种化合物或将是控制肥胖、预防糖尿病的关键。