Brit J Surg:减肥手术在降低结直肠癌风险中的作用

2020-01-31 xing.T MedSci原创

由此可见,与不进行手术的肥胖患者相比,进行减肥手术的患者发生结直肠癌的风险降低了35%。

肥胖会增加多种合并症的风险,例如2型糖尿病、心血管疾病和大多数癌症,包括直肠癌。目前,有关肥胖手术对大肠癌发生率的保护作用的文献存在相互矛盾的结果。近日,外科疾病领域权威杂志British Journal of Surgery上发表了一篇研究文章,这项荟萃分析旨在探究减肥手术对肥胖个体患直肠癌风险的影响。

研究人员检索了Ovid Embase、Ovid MEDLINE、Cochrane CENTRAL和Web of Science数据库中的相关文献,检索到2018年12月底发表的文献,根据循证医学PICO(人群、干预、控制、结果)模型提取数据,并使用随机效应模型进行分析,以评估合并的相对风险(RR)及其95%的置信区间。研究的异质性使用Cochran的Q和I2统计量进行了检验和量化。研究人员采用Meta回归分析研究年份、区域、平均随访时间和样本量与RR之间的关系。

该荟萃分析共纳入了7篇文献,共计1213727名患者。RR的汇总估计为0.64(95%CI为0.42至0.98)。非对称性检验未发现明显的发表偏倚。荟萃回归显示样本量是统计学上具有显著性的因素(P=0.037),但发表年份、地区和平均随访时间均不显著。

由此可见,与不进行手术的肥胖患者相比,进行减肥手术的患者发生结直肠癌的风险降低了35%。

原始出处:

S. Almazeedi.et al.Role of bariatric surgery in reducing the risk of colorectal cancer: a meta‐analysis.British Journal of Surgery.2020.https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs.11494

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2061907, encodeId=36b3206190e40, content=<a href='/topic/show?id=e6e1e15509f' target=_blank style='color:#2F92EE;'>#癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71550, encryptionId=e6e1e15509f, topicName=癌风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Jun 07 03:36:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1705363, encodeId=99e61e05363cb, content=<a href='/topic/show?id=7b9de87144b' target=_blank style='color:#2F92EE;'>#结直肠癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78714, encryptionId=7b9de87144b, topicName=结直肠癌风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c54a30977679, createdName=lfyang, createdTime=Sat Sep 12 21:36:00 CST 2020, time=2020-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453343, encodeId=b90a14533436a, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sun Feb 02 05:36:00 CST 2020, time=2020-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048294, encodeId=49201048294f6, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jan 31 17:36:00 CST 2020, time=2020-01-31, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2061907, encodeId=36b3206190e40, content=<a href='/topic/show?id=e6e1e15509f' target=_blank style='color:#2F92EE;'>#癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71550, encryptionId=e6e1e15509f, topicName=癌风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Jun 07 03:36:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1705363, encodeId=99e61e05363cb, content=<a href='/topic/show?id=7b9de87144b' target=_blank style='color:#2F92EE;'>#结直肠癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78714, encryptionId=7b9de87144b, topicName=结直肠癌风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c54a30977679, createdName=lfyang, createdTime=Sat Sep 12 21:36:00 CST 2020, time=2020-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453343, encodeId=b90a14533436a, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sun Feb 02 05:36:00 CST 2020, time=2020-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048294, encodeId=49201048294f6, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jan 31 17:36:00 CST 2020, time=2020-01-31, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2061907, encodeId=36b3206190e40, content=<a href='/topic/show?id=e6e1e15509f' target=_blank style='color:#2F92EE;'>#癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71550, encryptionId=e6e1e15509f, topicName=癌风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Jun 07 03:36:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1705363, encodeId=99e61e05363cb, content=<a href='/topic/show?id=7b9de87144b' target=_blank style='color:#2F92EE;'>#结直肠癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78714, encryptionId=7b9de87144b, topicName=结直肠癌风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c54a30977679, createdName=lfyang, createdTime=Sat Sep 12 21:36:00 CST 2020, time=2020-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453343, encodeId=b90a14533436a, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sun Feb 02 05:36:00 CST 2020, time=2020-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048294, encodeId=49201048294f6, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jan 31 17:36:00 CST 2020, time=2020-01-31, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=2061907, encodeId=36b3206190e40, content=<a href='/topic/show?id=e6e1e15509f' target=_blank style='color:#2F92EE;'>#癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71550, encryptionId=e6e1e15509f, topicName=癌风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Jun 07 03:36:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1705363, encodeId=99e61e05363cb, content=<a href='/topic/show?id=7b9de87144b' target=_blank style='color:#2F92EE;'>#结直肠癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78714, encryptionId=7b9de87144b, topicName=结直肠癌风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c54a30977679, createdName=lfyang, createdTime=Sat Sep 12 21:36:00 CST 2020, time=2020-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453343, encodeId=b90a14533436a, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sun Feb 02 05:36:00 CST 2020, time=2020-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048294, encodeId=49201048294f6, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jan 31 17:36:00 CST 2020, time=2020-01-31, status=1, ipAttribution=)]
    2020-01-31 CHANGE

    什么时候有懒人用的减肥神药?

    0

相关资讯

Diabetes Obes Metab:减肥手术与心肌梗死和卒中后较低的死亡率相关

由此可见,之前进行减肥手术对MI和CVA后的存活率具有显著的保护作用。

Eur Heart J:减肥手术与心力衰竭的风险

由此可见,与常规治疗相比,减肥手术与肥胖治疗者降低心衰风险相关。心力衰竭的风险似乎随着更大程度的体重减轻而下降。

AHA2019丨减肥手术可改善肥胖患者的脑血管结局

11月16~18日,2019美国心脏协会(AHA)科学年会在费城召开。除最新研究外,口头报告也备受瞩目,其中,最佳卒中摘要专场的两项研究引起参会者的关注。肥胖患者的减肥手术和脑血管结局与肥胖有关的代谢变化可导致脑血管疾病的发展,减肥手术是实现肥胖患者体重和代谢状况可靠改善的有效手段。尽管如此,其在长期减少脑血管发病率方面的有效性仍不清楚。Maddalena Ardissino等研究者公布的一项研究

JAMA Surg:减肥手术与肥胖人群总医疗支出

研究认为,严重肥胖人群的总医疗费用在接受减肥手术后立即增加,但10年后与未接受手术人群相一致。这一发现表明,减肥手术的价值主要在于改善健康,而不是降低医疗保健费用。

Metabolism:减肥手术后孕妇、新生儿胰岛素抵抗和新生儿人体测量学指标

由此可见,减肥手术后妊娠与母亲IR降低和新生儿体脂成分改变有关,出生体重和肥胖率显著降低,但脐带IR没有改善。

JAMA Surg:减肥手术后5年二次医疗干预风险比较研究——胃旁路vs袖状胃切除术

研究发现,在减肥手术后,患者接受二次干预、手术和住院风险较高,且接受胃旁路术患者风险高于袖状胃切除术