Bariatric-metabolic surgery and it’s effect on systemic system_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHU Xinqiang ¹ , HUANG Hailong ¹ , JIANG Xuetong ¹ ,  SUN Xitai ²

1. Department of General Surgery, Suqian Hospital, Affiliated Hospital of Xuzhou Medical University, Suqian, Jiangsu 223800, P. R. China;
2. Department of General Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, P. R. China;

Corresponding author：

SUN Xitai, Email: sunxitai@vip.qq.com

Keywords：

bariatric-metabolic surgery; systemic system; complication

DOI：

10.7507/1007-9424.201801016

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To understand bariatric-metabolic surgery and explore it’s effects on all systems of body. Method The literatures relevant bariatric-metabolic surgery at home and abroad were reviewed and analyzed. Results The bariatric-metabolic surgery continued to evolve, which had undergone the changes of the open and minimally invasive therapeutic pathways, it’s effect of weight reduction was remarkable and had a low incidence of postoperative complications. But there was still no " gold standard” for selection of operation method. The bariatric-metabolic surgery affected the changes of all the systems of the body, could cure or improve the obesity related diseases. Conclusions With minimal invasion and precision of bariatric-metabolic surgery, although it’s complications is less and less, there are still some problems. We need to fully evaluate by multidisciplinary, pay attention to physiological and psychological factors, adopt scientific nutrition management, promote benign development of bariatric-metabolic surgery.

Citation： ZHU Xinqiang, HUANG Hailong, JIANG Xuetong, SUN Xitai. Bariatric-metabolic surgery and it’s effect on systemic system. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(3): 276-282. doi: 10.7507/1007-9424.201801016 Copy

1.	NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1 698 population-based measurement studies with 19.2 million participants. Lancet, 2016, 387(10026): 1377-1396.
2.	Jia WP, Wang C, Jiang S, et al. Characteristics of obesity and its related disorders in China. Biomed Environ Sci, 2010, 23(1): 4-11.
3.	Rubino F, Nathan DM, Eckel RH, et al. Metabolic surgery in the treatment algorithm for type 2 diabetes: A Joint Statement by International Diabetes Organizations. Surg Obes Relat Dis, 2016, 12(6): 1144-1162.
4.	Nogueira I, Hrovat K. Adolescent bariatric surgery: review on nutrition considerations. Nutr Clin Pract, 2014, 29(6): 740-746.
5.	Karmali S, Johnson Stoklossa C, Sharma A, et al. Bariatric surgery: a primer. Can Fam Physician, 2010, 56(9): 873-879.
6.	Nunez Lopez O, Jupiter DC, Bohanon FJ, et al. Health disparities in adolescent bariatric surgery: nationwide outcomes and utilization. J Adolesc Health, 2017, 61(5): 649-656.
7.	郑成竹, 常绪生. 减重代谢手术适应证演变. 中国实用外科杂志, 2014, 34(11): 1023-1025.
8.	Cummings DE, Cohen RV. Beyond BMI: the need for new guidelines governing the use of bariatric and metabolic surgery. Lancet Diabetes Endocrinol, 2014, 2(2): 175-181.
9.	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). 中国实用外科杂志, 2014, 34(11): 1005-1010.
10.	Schauer PR, Bhatt DL, Kashyap SR. Bariatric surgery versus intensive medical therapy for diabetes. N Engl J Med, 2014, 371(7): 682.
11.	Varma S, Clark JM, Schweitzer M, et al. Weight regain in patients with symptoms of post-bariatric surgery hypoglycemia. Surg Obes Relat Dis, 2017, 13(10): 1728-1734.
12.	Borisenko O, Mann O, Duprée A. Cost-utility analysis of bariatric surgery compared with conventional medical management in Germany: a decision analytic modeling. BMC Surg, 2017, 17(1): 87.
13.	Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am, 1967, 47(6): 1345-1351.
14.	Bray GA, Barry RE, Benfield JR, et al. Intestinal bypass surgery for obesity decreases food intake and taste preferences. Am J Clin Nutr, 1976, 29(7): 779-783.
15.	Gomez CA. Gastroplasty in the surgical treatment of morbid obesity. Am J Clin Nutr, 1980, 33(2 Suppl): 406-415.
16.	Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment. Am J Surg, 1989, 157(1): 93-102.
17.	Gagner M, Rogula T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch. Obes Surg, 2003, 13(4): 649-654.
18.	Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg, 2015, 25(10): 1822-1832.
19.	Johnson EE, Simpson AN, Harvey JB, et al. Trends in bariatric surgery, 2002-2012: do changes parallel the obesity trend? Surg Obes Relat Dis, 2016, 12(2): 398-404.
20.	Facchiano E, Scaringi S, Sabate JM, et al. Is esophageal dysmotility after laparoscopic adjustable gastric banding reversible? Obes Surg, 2007, 17(6): 832-835.
21.	杨志伟, 孙兆丹, 朱大勇, 等. 国内腹腔镜袖状胃切除术治疗肥胖症近期疗效的 Meta 分析. 中国普外基础与临床杂志, 2015, 22(6): 676-682.
22.	朱江帆, 周小钢. 腹腔镜胃袖状切除术临床应用价值. 中国实用外科杂志, 2014, 34(11): 1032-1035.
23.	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. Lancet, 2015, 386(9997): 964-973.
24.	Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med, 2007, 357(8): 741-752.
25.	Peterli R, Borbély Y, Kern B, et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg, 2013, 258(5): 690-694.
26.	Puzziferri N, Roshek TB 3rd, Mayo HG, et al. Long-term follow-up after bariatric surgery: a systematic review. JAMA, 2014, 312(9): 934-942.
27.	Coupaye M, Castel B, Sami O, et al. Comparison of the incidence of cholelithiasis after sleeve gastrectomy and Roux-en-Y gastric bypass in obese patients: a prospective study. Surg Obes Relat Dis, 2015, 11(4): 779-784.
28.	Yang J, Wang C, Cao G, et al. Long-term effects of laparoscopic sleeve gastrectomy versus roux-en-Y gastric bypass for the treatment of Chinese type 2 diabetes mellitus patients with body mass index 28-35 kg/m(2). BMC Surg, 2015, 15: 88.
29.	Taton N, Borel AL, Chobert Bakouline M, et al. Malnutrition after bariatric surgery. Minerva Chir, 2017, 72(6): 464-474.
30.	Brolin RE, LaMarca LB, Kenler HA, et al. Malabsorptive gastric bypass in patients with superobesity. J Gastrointest Surg, 2002, 6(2): 195-203.
31.	Brolin RE, Leung M. Survey of vitamin and mineral supplementation after gastric bypass and biliopancreatic diversion for morbid obesity. Obes Surg, 1999, 9(2): 150-154.
32.	Al-Bahri S, Fakhry TK, Gonzalvo JP, et al. Bariatric surgery as a bridge to renal transplantation in patients with end-stage renal disease. Obes Surg, 2017, 27(11): 2951-2955.
33.	Luque-Ramírez M, Martí D, Fernández-Durán E, et al. Office blood pressure, ambulatory blood pressure monitoring, and echocardiographic abnormalities in women with polycystic ovary syndrome: role of obesity and androgen excess. Hypertension, 2014, 63(3): 624-629.
34.	Hernández-Mijares A, Bañuls C, Gómez-Balaguer M, et al. Influence of obesity on atherogenic dyslipidemia in women with polycystic ovary syndrome. Eur J Clin Invest, 2013, 43(6): 549-556.
35.	Laitinen J, Taponen S, Martikainen H, et al. Body size from birth to adulthood as a predictor of self-reported polycystic ovary syndrome symptoms. Int J Obes Relat Metab Disord, 2003, 27(6): 710-715.
36.	Mahawar KK. Pregnancy and bariatric surgery. Minerva Chir, 2017, 72(6): 538-545.
37.	Yau PO, Parikh M, Saunders JK, et al. Pregnancy after bariatric surgery: the effect of time-to-conception on pregnancy outcomes. Surg Obes Relat Dis, 2017, 13(11): 1899-1905.
38.	Rodriguez Flores M, Aguilar Salinas C, Piché ME, et al. Effect of bariatric surgery on heart failure. Expert Rev Cardiovasc Ther, 2017, 15(8): 567-579.
39.	Salonen R, Salonen JT. Progression of carotid atherosclerosis and its determinants: a population-based ultrasonography study. Atherosclerosis, 1990, 81(1): 33-40.
40.	Kotzampassi K, Shrewsbury AD, Papakostas P, et al. Looking into the profile of those who succeed in losing weight with an intragastric balloon. J Laparoendosc Adv Surg Tech A, 2014, 24(5): 295-301.
41.	Sánchez-Ruiz KL, Ferreira-Hermosillo A, Molina-Ayala MA, et al. Evaluation of cardiovascular risk factors in obesity before and after bariatric surgery. Rev Med Inst Mex Seguro Soc, 2017, 55(5): 556-567.
42.	Wilhelm SM, Young J, Kale-Pradhan PB. Effect of bariatric surgery on hypertension: a meta-analysis. Ann Pharmacother, 2014, 48(6): 674-682.
43.	Rubino F, Nathan DM, Eckel RH, et al. Metabolic surgery in the treatment algorithm for type 2 diabetes: A Joint Statement by International Diabetes Organizations. Diabetes Care, 2016, 39(6): 861-877.
44.	Kim DJ, Paik KY, Kim MK, et al. Three-year result of efficacy for type 2 diabetes mellitus control between laparoscopic duodenojejunal bypass compared with laparoscopic Roux-en-Y gastric bypass. Ann Surg Treat Res, 2017, 93(5): 260-265.
45.	Yadav R, Hama S, Liu Y, et al. Effect of Roux-en-Y bariatric surgery on lipoproteins, insulin resistance, and systemic and vascular inflammation in obesity and diabetes. Front Immunol, 2017, 8: 1512.
46.	Aminian A, Brethauer SA, Andalib A, et al. Can sleeve gastrectomy " cure” diabetes? Long-term metabolic effects of sleeve gastrectomy in patients with type 2 diabetes. Ann Surg, 2016, 264(4): 674-681.
47.	Liu F, Di J, Yu H, et al. Effect of Roux-en-Y gastric bypass on thyroid function in euthyroid patients with obesity and type 2 diabetes. Surg Obes Relat Dis, 2017, 13(10): 1701-1707.
48.	Immonen H, Hannukainen JC, Iozzo P, et al. Effect of bariatric surgery on liver glucose metabolism in morbidly obese diabetic and non-diabetic patients. J Hepatol, 2014, 60(2): 377-383.
49.	Suraweera D, Saab EG, Choi G, et al. Bariatric surgery and liver transplantation. Gastroenterol Hepatol (N Y), 2017, 13(3): 170-175.
50.	Omer E, Atassi H. The microbiome that shapes Us: Can it cause obesity? Curr Gastroenterol Rep, 2017, 19(12): 59.
51.	Tishler PV, Larkin EK, Schluchter MD, et al. Incidence of sleep-disordered breathing in an urban adult population: the relative importance of risk factors in the development of sleep-disordered breathing. JAMA, 2003, 289(17): 2230-2237.
52.	Sarkhosh K, Switzer NJ, El-Hadi M, et al. The impact of bariatric surgery on obstructive sleep apnea: a systematic review. Obes Surg, 2013, 23(3): 414-423.
53.	邵怡凯, 姚琪远. 减重手术改善代谢的机制. 中华胃肠外科杂志, 2014, 17(7): 732-736.
54.	Pearce AL, Mackey E, Cherry JBC, et al. Effect of adolescent bariatric surgery on the brain and cognition: a pilot study. Obesity (Silver Spring), 2017, 25(11): 1852-1860.
55.	Ochner CN, Kwok Y, Conceição E, et al. Selective reduction in neural responses to high calorie foods following gastric bypass surgery. Ann Surg, 2011, 253(3): 502-507.
56.	Masoomi H, Reavis KM, Smith BR, et al. Risk factors for acute respiratory failure in bariatric surgery: data from the Nationwide Inpatient Sample, 2006-2008. Surg Obes Relat Dis, 2013, 9(2): 277-281.
57.	Shi X, Karmali S, Sharma AM, et al. A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg, 2010, 20(8): 1171-1177.
58.	Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery, 2007, 142(4): 621-632.
59.	Lupoli R, Lembo E, Saldalamacchia G, et al. Bariatric surgery and long-term nutritional issues. World J Diabetes, 2017, 8(11): 464-474.
60.	Jirapinyo P, Dayyeh BK, Thompson CC. Gastrojejunal anastomotic reduction for weight regain in Roux-en-Y gastric bypass patients: physiological, behavioral, and anatomical effects of endoscopic suturing and sclerotherapy. Surg Obes Relat Dis, 2016, 12(10): 1810-1816.
61.	Marinari GM, Murelli F, Camerini G, et al. A 15-year evaluation of biliopancreatic diversion according to the Bariatric Analysis Reporting Outcome System (BAROS). Obes Surg, 2004, 14(3): 325-328.
62.	Di Vetta V, Heller A, Pralong F, et al. Multidisciplinary manage-ment of dumping syndromes after bariatric surgery. Rev Med Suisse, 2017, 13(555): 655-658.
63.	Stein EM, Carrelli A, Young P, et al. Bariatric surgery results in cortical bone loss. J Clin Endocrinol Metab, 2013, 98(2): 541-549.
64.	Rao BB, Bhattacharya A, Agrawal V. Renal outcomes of bariatric surgery in obese adults with diabetic kidney disease. J Nephrol, 2014, 27(4): 361-370.
65.	Lieske JC, Mehta RA, Milliner DS, et al. Kidney stones are common after bariatric surgery. Kidney Int, 2015, 87(4): 839-845.
66.	Xiao N, Jenkins TM, Nehus E, et al. Kidney function in severely obese adolescents undergoing bariatric surgery. Obesity (Silver Spring), 2014, 22(11): 2319-2325.
67.	Handzlik-Orlik G, Holecki M, Orlik B, et al. Nutrition management of the post-bariatric surgery patient. Nutr Clin Pract, 2015, 30(3): 383-392.

1. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1 698 population-based measurement studies with 19.2 million participants. Lancet, 2016, 387(10026): 1377-1396.
2. Jia WP, Wang C, Jiang S, et al. Characteristics of obesity and its related disorders in China. Biomed Environ Sci, 2010, 23(1): 4-11.
3. Rubino F, Nathan DM, Eckel RH, et al. Metabolic surgery in the treatment algorithm for type 2 diabetes: A Joint Statement by International Diabetes Organizations. Surg Obes Relat Dis, 2016, 12(6): 1144-1162.
4. Nogueira I, Hrovat K. Adolescent bariatric surgery: review on nutrition considerations. Nutr Clin Pract, 2014, 29(6): 740-746.
5. Karmali S, Johnson Stoklossa C, Sharma A, et al. Bariatric surgery: a primer. Can Fam Physician, 2010, 56(9): 873-879.
6. Nunez Lopez O, Jupiter DC, Bohanon FJ, et al. Health disparities in adolescent bariatric surgery: nationwide outcomes and utilization. J Adolesc Health, 2017, 61(5): 649-656.
7. 郑成竹, 常绪生. 减重代谢手术适应证演变. 中国实用外科杂志, 2014, 34(11): 1023-1025.
8. Cummings DE, Cohen RV. Beyond BMI: the need for new guidelines governing the use of bariatric and metabolic surgery. Lancet Diabetes Endocrinol, 2014, 2(2): 175-181.
9. 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). 中国实用外科杂志, 2014, 34(11): 1005-1010.
10. Schauer PR, Bhatt DL, Kashyap SR. Bariatric surgery versus intensive medical therapy for diabetes. N Engl J Med, 2014, 371(7): 682.
11. Varma S, Clark JM, Schweitzer M, et al. Weight regain in patients with symptoms of post-bariatric surgery hypoglycemia. Surg Obes Relat Dis, 2017, 13(10): 1728-1734.
12. Borisenko O, Mann O, Duprée A. Cost-utility analysis of bariatric surgery compared with conventional medical management in Germany: a decision analytic modeling. BMC Surg, 2017, 17(1): 87.
13. Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am, 1967, 47(6): 1345-1351.
14. Bray GA, Barry RE, Benfield JR, et al. Intestinal bypass surgery for obesity decreases food intake and taste preferences. Am J Clin Nutr, 1976, 29(7): 779-783.
15. Gomez CA. Gastroplasty in the surgical treatment of morbid obesity. Am J Clin Nutr, 1980, 33(2 Suppl): 406-415.
16. Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment. Am J Surg, 1989, 157(1): 93-102.
17. Gagner M, Rogula T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch. Obes Surg, 2003, 13(4): 649-654.
18. Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg, 2015, 25(10): 1822-1832.
19. Johnson EE, Simpson AN, Harvey JB, et al. Trends in bariatric surgery, 2002-2012: do changes parallel the obesity trend? Surg Obes Relat Dis, 2016, 12(2): 398-404.
20. Facchiano E, Scaringi S, Sabate JM, et al. Is esophageal dysmotility after laparoscopic adjustable gastric banding reversible? Obes Surg, 2007, 17(6): 832-835.
21. 杨志伟, 孙兆丹, 朱大勇, 等. 国内腹腔镜袖状胃切除术治疗肥胖症近期疗效的 Meta 分析. 中国普外基础与临床杂志, 2015, 22(6): 676-682.
22. 朱江帆, 周小钢. 腹腔镜胃袖状切除术临床应用价值. 中国实用外科杂志, 2014, 34(11): 1032-1035.
23. 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. Lancet, 2015, 386(9997): 964-973.
24. Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med, 2007, 357(8): 741-752.
25. Peterli R, Borbély Y, Kern B, et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg, 2013, 258(5): 690-694.
26. Puzziferri N, Roshek TB 3rd, Mayo HG, et al. Long-term follow-up after bariatric surgery: a systematic review. JAMA, 2014, 312(9): 934-942.
27. Coupaye M, Castel B, Sami O, et al. Comparison of the incidence of cholelithiasis after sleeve gastrectomy and Roux-en-Y gastric bypass in obese patients: a prospective study. Surg Obes Relat Dis, 2015, 11(4): 779-784.
28. Yang J, Wang C, Cao G, et al. Long-term effects of laparoscopic sleeve gastrectomy versus roux-en-Y gastric bypass for the treatment of Chinese type 2 diabetes mellitus patients with body mass index 28-35 kg/m(2). BMC Surg, 2015, 15: 88.
29. Taton N, Borel AL, Chobert Bakouline M, et al. Malnutrition after bariatric surgery. Minerva Chir, 2017, 72(6): 464-474.
30. Brolin RE, LaMarca LB, Kenler HA, et al. Malabsorptive gastric bypass in patients with superobesity. J Gastrointest Surg, 2002, 6(2): 195-203.
31. Brolin RE, Leung M. Survey of vitamin and mineral supplementation after gastric bypass and biliopancreatic diversion for morbid obesity. Obes Surg, 1999, 9(2): 150-154.
32. Al-Bahri S, Fakhry TK, Gonzalvo JP, et al. Bariatric surgery as a bridge to renal transplantation in patients with end-stage renal disease. Obes Surg, 2017, 27(11): 2951-2955.
33. Luque-Ramírez M, Martí D, Fernández-Durán E, et al. Office blood pressure, ambulatory blood pressure monitoring, and echocardiographic abnormalities in women with polycystic ovary syndrome: role of obesity and androgen excess. Hypertension, 2014, 63(3): 624-629.
34. Hernández-Mijares A, Bañuls C, Gómez-Balaguer M, et al. Influence of obesity on atherogenic dyslipidemia in women with polycystic ovary syndrome. Eur J Clin Invest, 2013, 43(6): 549-556.
35. Laitinen J, Taponen S, Martikainen H, et al. Body size from birth to adulthood as a predictor of self-reported polycystic ovary syndrome symptoms. Int J Obes Relat Metab Disord, 2003, 27(6): 710-715.
36. Mahawar KK. Pregnancy and bariatric surgery. Minerva Chir, 2017, 72(6): 538-545.
37. Yau PO, Parikh M, Saunders JK, et al. Pregnancy after bariatric surgery: the effect of time-to-conception on pregnancy outcomes. Surg Obes Relat Dis, 2017, 13(11): 1899-1905.
38. Rodriguez Flores M, Aguilar Salinas C, Piché ME, et al. Effect of bariatric surgery on heart failure. Expert Rev Cardiovasc Ther, 2017, 15(8): 567-579.
39. Salonen R, Salonen JT. Progression of carotid atherosclerosis and its determinants: a population-based ultrasonography study. Atherosclerosis, 1990, 81(1): 33-40.
40. Kotzampassi K, Shrewsbury AD, Papakostas P, et al. Looking into the profile of those who succeed in losing weight with an intragastric balloon. J Laparoendosc Adv Surg Tech A, 2014, 24(5): 295-301.
41. Sánchez-Ruiz KL, Ferreira-Hermosillo A, Molina-Ayala MA, et al. Evaluation of cardiovascular risk factors in obesity before and after bariatric surgery. Rev Med Inst Mex Seguro Soc, 2017, 55(5): 556-567.
42. Wilhelm SM, Young J, Kale-Pradhan PB. Effect of bariatric surgery on hypertension: a meta-analysis. Ann Pharmacother, 2014, 48(6): 674-682.
43. Rubino F, Nathan DM, Eckel RH, et al. Metabolic surgery in the treatment algorithm for type 2 diabetes: A Joint Statement by International Diabetes Organizations. Diabetes Care, 2016, 39(6): 861-877.
44. Kim DJ, Paik KY, Kim MK, et al. Three-year result of efficacy for type 2 diabetes mellitus control between laparoscopic duodenojejunal bypass compared with laparoscopic Roux-en-Y gastric bypass. Ann Surg Treat Res, 2017, 93(5): 260-265.
45. Yadav R, Hama S, Liu Y, et al. Effect of Roux-en-Y bariatric surgery on lipoproteins, insulin resistance, and systemic and vascular inflammation in obesity and diabetes. Front Immunol, 2017, 8: 1512.
46. Aminian A, Brethauer SA, Andalib A, et al. Can sleeve gastrectomy " cure” diabetes? Long-term metabolic effects of sleeve gastrectomy in patients with type 2 diabetes. Ann Surg, 2016, 264(4): 674-681.
47. Liu F, Di J, Yu H, et al. Effect of Roux-en-Y gastric bypass on thyroid function in euthyroid patients with obesity and type 2 diabetes. Surg Obes Relat Dis, 2017, 13(10): 1701-1707.
48. Immonen H, Hannukainen JC, Iozzo P, et al. Effect of bariatric surgery on liver glucose metabolism in morbidly obese diabetic and non-diabetic patients. J Hepatol, 2014, 60(2): 377-383.
49. Suraweera D, Saab EG, Choi G, et al. Bariatric surgery and liver transplantation. Gastroenterol Hepatol (N Y), 2017, 13(3): 170-175.
50. Omer E, Atassi H. The microbiome that shapes Us: Can it cause obesity? Curr Gastroenterol Rep, 2017, 19(12): 59.
51. Tishler PV, Larkin EK, Schluchter MD, et al. Incidence of sleep-disordered breathing in an urban adult population: the relative importance of risk factors in the development of sleep-disordered breathing. JAMA, 2003, 289(17): 2230-2237.
52. Sarkhosh K, Switzer NJ, El-Hadi M, et al. The impact of bariatric surgery on obstructive sleep apnea: a systematic review. Obes Surg, 2013, 23(3): 414-423.
53. 邵怡凯, 姚琪远. 减重手术改善代谢的机制. 中华胃肠外科杂志, 2014, 17(7): 732-736.
54. Pearce AL, Mackey E, Cherry JBC, et al. Effect of adolescent bariatric surgery on the brain and cognition: a pilot study. Obesity (Silver Spring), 2017, 25(11): 1852-1860.
55. Ochner CN, Kwok Y, Conceição E, et al. Selective reduction in neural responses to high calorie foods following gastric bypass surgery. Ann Surg, 2011, 253(3): 502-507.
56. Masoomi H, Reavis KM, Smith BR, et al. Risk factors for acute respiratory failure in bariatric surgery: data from the Nationwide Inpatient Sample, 2006-2008. Surg Obes Relat Dis, 2013, 9(2): 277-281.
57. Shi X, Karmali S, Sharma AM, et al. A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg, 2010, 20(8): 1171-1177.
58. Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery, 2007, 142(4): 621-632.
59. Lupoli R, Lembo E, Saldalamacchia G, et al. Bariatric surgery and long-term nutritional issues. World J Diabetes, 2017, 8(11): 464-474.
60. Jirapinyo P, Dayyeh BK, Thompson CC. Gastrojejunal anastomotic reduction for weight regain in Roux-en-Y gastric bypass patients: physiological, behavioral, and anatomical effects of endoscopic suturing and sclerotherapy. Surg Obes Relat Dis, 2016, 12(10): 1810-1816.
61. Marinari GM, Murelli F, Camerini G, et al. A 15-year evaluation of biliopancreatic diversion according to the Bariatric Analysis Reporting Outcome System (BAROS). Obes Surg, 2004, 14(3): 325-328.
62. Di Vetta V, Heller A, Pralong F, et al. Multidisciplinary manage-ment of dumping syndromes after bariatric surgery. Rev Med Suisse, 2017, 13(555): 655-658.
63. Stein EM, Carrelli A, Young P, et al. Bariatric surgery results in cortical bone loss. J Clin Endocrinol Metab, 2013, 98(2): 541-549.
64. Rao BB, Bhattacharya A, Agrawal V. Renal outcomes of bariatric surgery in obese adults with diabetic kidney disease. J Nephrol, 2014, 27(4): 361-370.
65. Lieske JC, Mehta RA, Milliner DS, et al. Kidney stones are common after bariatric surgery. Kidney Int, 2015, 87(4): 839-845.
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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Bariatric-metabolic surgery and it’s effect on systemic system

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