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Title: Consequences of bariatric surgery on outcomes in rheumatic diseases
Authors: Lespessailles, Eric
Hammoud, Emneh
Toumi, Hechmi
Ibrahim-Nasser, Nada
Affiliations: Faculty of Arts and Sciences 
Keywords: Bariatric surgery
Low back pain
Psoriatic arthritis
Rheumatoid arthritis
Issue Date: 2019
Publisher: National Library of Medicine
Part of: Arthritis Research and Therapy
Volume: 21
Issue: 1
Obesity is associated with numerous comorbidities including some rheumatic conditions. Through adipose-derived inflammation, obesity has been shown to induce increased initiation, progression, and worse responses on outcomes of rheumatic diseases. Bariatric surgery is being increasingly used thanks to its positive effects on major comorbidities such as type 2 diabetes mellitus and hypertension. Consequently, surgically induced weight and adipose tissue losses might play a role in the course of rheumatic conditions. The present narrative literature review aims to provide rheumatologists with an update on both the positive and negative effects of bariatric surgery on the rheumatic outcomes reported in the literature. Current evidence seems to show improved outcomes in obese populations with rheumatic disorders after bariatric surgery. However, rigorous prospective controlled studies with long follow-up are needed. Bariatric procedures have deleterious effects on bone and are associated with an increased risk of fractures.
ISSN: 14786354
DOI: 10.1186/s13075-019-1869-z
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Department of Physical Education

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