nach oben

Erschienen in:

29.07.2020 | Original Contributions

Circadian Misalignment Is Negatively Associated with the Anthropometric, Metabolic and Food Intake Outcomes of Bariatric Patients 6 Months After Surgery

verfasst von: Aline Cunha Carvalho, Maria Carliana Mota, Luisa Pereira Marot, Luís Augusto Mattar, José Américo Gomides de Sousa, Ana Cristina Tomaz Araújo, Camila Thaís da Costa Assis, Cibele Aparecida Crispim

Erschienen in: Obesity Surgery | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Circadian misalignment has been associated with an increased risk of overweight and obesity, as well as changes in metabolic parameters. This study evaluated the association between social jet lag (SJL), a measure of circadian misalignment, and anthropometric, metabolic and food intake outcomes 6 months after bariatric surgery.

Materials and Methods

A total of 122 bariatric patients were included (77% female, aged 33 years (range 28–41); 79.5% underwent Roux-en-Y gastric bypass). Anthropometric, food consumption and SJL were evaluated in the preoperative evaluation and in the third and sixth months after surgery. SJL was calculated based on the absolute difference between the mid-sleep time on weekends and weekdays. Generalised estimating equations and linear regression were performed to evaluate the associations between mean SJL exposure and the outcomes.

Results

The interaction between SJL and follow-up time negatively influenced the evolution of weight (p = 0.01), BMI (p = 0.04) and insulin levels (p = 0.01). SJL had an effect on intake of calories (p = 0.001), carbohydrate (p = 0.005) and total (p = 0.007), monounsaturated (p = 0.03) and polyunsaturated fat (p < 0.001). Linear regression showed a negative association between mean SJL exposure over the 6 months and the percentage of weight loss (coefficient = − 0.30, p = 0.006), body weight loss (kg) (coefficient = − 0.17, p = 0.03) and the reduction of BMI (coefficient = − 0.24, p = 0.007).

Conclusions

SJL was negatively associated with anthropometric, metabolic and food consumption outcomes 6 months after bariatric surgery. Future studies with longer follow-up are needed to confirm these findings.

Trial Registration

Clinical Trials.gov: NCT03485352

Reppert SM, Weaver DR. Coordination of circadian timing in mammals. Nature. 2002;418(6901):935–41. https://doi.org/10.1038/nature00965.CrossRefPubMed

Reinke H, Asher G. Circadian clock control of liver metabolic functions. Gastroenterology. 2016;150(3):574–80. https://doi.org/10.1053/j.gastro.2015.11.043.CrossRefPubMed

Stenvers DJ, Scher FAJL, Schrauwen P, et al. Circadian clocks and insulin resistance. Nat Rev Endocrinol. 2019;15(2):75–89. https://doi.org/10.1038/s41574-018-0122-1.CrossRefPubMed

Froy O, Garaulet M. The circadian clock in white and brown adipose tissue: mechanistic, endocrine and clinical aspects. Endocr Rev. 2018;39(3):261–73. https://doi.org/10.1210/er.2017-00193.CrossRefPubMedPubMedCentral

Voigt RM, Forsyth CB, Keshavarzian A. Circadian rhythms: a regulator of gastrointestinal health and dysfunction. Expert Rev Gastroenterol Hepatol. 2019;13(5):411–24. https://doi.org/10.1080/17474124.2019.15955.CrossRefPubMedPubMedCentral

Astiz M, Heyde I, Oster H. Mechanisms of communication in the mammalian circadian timing system. Int J Mol Sci. 2019;20(2):343. https://doi.org/10.3390/ijms20020343.CrossRefPubMedCentral

Mchill AR, Melansonb EL, Higginsd J, et al. Impact of circadian misalignment on energy metabolism during simulated nightshift work. Proc Natl Acad Sci U S A. 2014;111(48):17302–7. https://doi.org/10.1073/pnas.1412021111.CrossRefPubMedPubMedCentral

Lunn RM, Blask DE, Coogan AN, et al. A report on the National Toxicology Program's workshop on shift work at night, artificial light at night, and circadian disruption. Sci Total Environ. 2017;607-608:1073–84. https://doi.org/10.1016/j.scitotenv.2017.07.056.CrossRefPubMedPubMedCentral

Garaulet M, Gómez AP. Timing of food intake and obesity: a novel association. Physiol Behav. 2014;134:44–50. https://doi.org/10.1016/j.physbeh.2014.01.001.CrossRefPubMed

10.

Maury E. Off the clock: from circadian disruption to metabolic disease. Int J Mol Sci. 2019;20(7):1597. https://doi.org/10.3390/ijms20071597.CrossRefPubMedCentral

11.

Wittmann M, Dinich J, Merrow M, et al. Social jetlag: misalignment of biological and social time. Chronobiol Int. 2006;23(1–2):497–509. https://doi.org/10.1080/07420520500545979.CrossRefPubMed

12.

Parsons MJ, Moffitt TE, Gregory AM, et al. Social jetlag, obesity and metabolic disorder: investigation in a cohort study. Int J Obes. 2015;39(5):842–8. https://doi.org/10.1038/ijo.2014.201.CrossRef

13.

Ho C-Y, Lin S-H, Tsai M-C, et al. Impact of cumulative unhealthy sleep practices in adolescence on substance use in young adulthood estimated using marginal structural modeling. Front Neurosci. 2020;14:339. https://doi.org/10.3389/fnins.2020.00339.CrossRefPubMedPubMedCentral

14.

Haynie DL, Lewin D, Luk JW, et al. Beyond sleep duration: bidirectional associations among chronotype, social jetlag, and drinking behaviors in a longitudinal sample of US high school students. Sleep. 2017;41(2) https://doi.org/10.1093/sleep/zsx202.

15.

Rutters F, Lemmens SG, Adam TC, et al. Is social jetlag associated with an adverse endocrine, behavioral, and cardiovascular risk profile? J Biol Rhythm. 2014;29:377–83. https://doi.org/10.1177/0748730414550199.CrossRef

16.

Wong PM, Hasler BP, Kamarcck TW, et al. Social jetlag, chronotype, and cardiometabolic risk. J Clin Endocrinol Metab. 2015;100(12):4612–20. https://doi.org/10.1210/jc.2015-2923.CrossRefPubMedPubMedCentral

17.

Alves MS, Andrade RZ, Silva GC, et al. Social jetlag among night workers is negatively associated with the frequency of moderate or vigorous physical activity and with energy expenditure related to physical activity. J Biol Rhythm. 2016;1:83–93. https://doi.org/10.1177/0748730416682110.CrossRef

18.

Roenneberg T, Allebrandt KV, Merrow M, et al. Social jetlag and obesity. Curr Biol. 2012;22(10):939–43. https://doi.org/10.1016/j.cub.2012.03.038.CrossRefPubMed

19.

Mota MC, Silva CM, Balieiro LCT, et al. Social jetlag and metabolic control in non-communicable chronic diseases: a study addressing different obesity status. Sci Rep. 2017;7(1):6358. https://doi.org/10.1038/s41598-017-06723-w.CrossRefPubMedPubMedCentral

20.

Zerón-Rugerio MF, Cambras T, Izquierdo-Pulido M. Social jet lag associates negatively with the adherence to the Mediterranean diet and body mass index among young adults. Nutrients. 2019;11(8):1756. https://doi.org/10.3390/nu11081756.CrossRefPubMedCentral

21.

Koopman DM, Rauh S, Riet S, et al. The association between social jetlag, the metabolic syndrome, and type 2 diabetes mellitus in the general population: the new Hoorn study. J Biol Rhytms. 2017;32(4):359–68. https://doi.org/10.1177/0748730417713572.CrossRef

22.

Islam Z, Akter S, Kochi T, et al. Association of social jetlag with metabolic syndrome among Japanese working population: the Furukawa nutrition and health study. Sleep Med. 2018;51:53–8. https://doi.org/10.1016/j.sleep.2018.07.003.CrossRefPubMed

23.

Mokhlesi B, Temple KA, Tjaden AH, et al. Association of self-reported sleep and circadian measures with glycemia in adults with prediabetes or recently diagnosed untreated type 2 diabetes. Diabetes Care. 2019;42(7):1326–32. https://doi.org/10.2337/dc19-0298.CrossRefPubMedPubMedCentral

24.

Levandovski R, Dantas G, Fernandes LC, et al. Depression scores associate with chronotype and social jetlag in a rural population. Chronobiol Int. 2011;28(9):771–8. https://doi.org/10.3109/07420528.2011.602445.CrossRefPubMed

25.

Henderson SEM, Brady EM, Robertson N. Associations between social jetlag and mental health in young people: a systematic review. Chronobiol Int. 2019;36:1–18. https://doi.org/10.1080/07420528.2019.1636813.CrossRef

26.

Islam Z, Huanhuan H, Shamima A, et al. Social jetlag is associated with an increased likelihood of having depressive symptoms among the Japanese working population: the Furukawa nutrition and health study. Sleep. 2019;1:204. https://doi.org/10.1093/sleep/zsz204.CrossRef

27.

Almoosawi S, Palla L, Walshe I, et al. Long sleep duration and social jetlag are associated inversely with a healthy dietary pattern in adults: results from the UK national diet and nutrition survey rolling Programme. Nutrients. 2018;10(9):1131. https://doi.org/10.3390/nu10091131.CrossRefPubMedCentral

28.

Mathew GM, Hale L, Chang AM. Social jetlag, eating behaviours and body mass index among adolescents in the United States. Br J Nutr. 2020:1–25. https://doi.org/10.1017/s0007114520001804.

29.

Mota MC, Silva CM, Balieiro LCT, et al. Association between social jetlag food consumption and meal times in patients with obesity-related chronic diseases. PLoS One. 2019;14(2):e0212126. https://doi.org/10.1371/journal.pone.0212126.CrossRefPubMedPubMedCentral

30.

Pories WJ. Bariatric surgery: risks and rewards. J Clin Endocrinol Metab. 2008;93(11 Suppl 1):S89–96. https://doi.org/10.1210/jc.2008-1641.CrossRefPubMedPubMedCentral

31.

Neovius M, Narbro K, Keating C, et al. Health care use during 20 years following bariatric surgery. JAMA. 2012;308(11):1132–41. https://doi.org/10.1001/2012.jama.11792.CrossRefPubMed

32.

Yumuk V, Tsigos C, Fried M, et al. European guidelines for obesity management in adults. Obes Facts. 2015;8(6):402–24. https://doi.org/10.1159/000442721.CrossRefPubMedPubMedCentral

33.

Biron S, Hould FS, Lebel S. Twenty years of biliopancreatic diversion: what is the goal of the surgery? Obes Surg. 2004;14(2):160–4. https://doi.org/10.1381/096089204322857492.CrossRefPubMed

34.

Higa K, Ho T, Tercero F, et al. Laparoscopic roux-en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis. 2011;7(4):516–25. https://doi.org/10.1016/j.soard.2010.10.019.CrossRef

35.

Christensen BJ, Schmidt JB, Nielsen MS, et al. Patient profiling for success after weight loss surgery (GO bypass study): an interdisciplinary study protocol. Contemp Clin Trials Commun. 2018;10:121–30. https://doi.org/10.1016/j.conctc.2018.02.002.CrossRefPubMedPubMedCentral

36.

Faul F, Erdfelder E, Lang AG, et al. G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91. https://doi.org/10.3758/BF03193146.CrossRef

37.

WHO. Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser. 2000;894:i–xii. 1–253

38.

WHO. World Health Organization. Waist circumference and waist-hip ratio: report of a WHO expert consultation. Eur J Clin Nutr. 2008;64(1):2–5. https://doi.org/10.1038/ejcn.2009.139.CrossRef

39.

Laakso M, Matilainen V. Keina ¨nen-Kiukaanniemi S. Association of neck circumference with insulin resistance-related factors. Int J Obes Relat Metab Disord. 2002;26(6):873–5. https://doi.org/10.1038/sj.ijo.0802002.CrossRefPubMed

40.

Friedwald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18(6):499–502.CrossRef

41.

Matthews DR, Hosker JP, Rudenski AS, et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28(7):412–9. https://doi.org/10.1007/BF00280883.CrossRefPubMed

42.

Alcantara I, Haardörfer R, Gazmararian JA, et al. Kegler MC1. Relative validation of fruit and vegetable intake and fat intake among overweight and obese African-American women. Public Health Nutr. 2015;18(11):1932–40. https://doi.org/10.1017/S1368980014002547.CrossRefPubMed

43.

Moshfegh AJ, Rhodes DG, Baer DJ, et al. The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88(2):324–32. https://doi.org/10.1093/ajcn/88.2.324.CrossRefPubMed

44.

Contín MA, Benedetto MM, Quinteros-Quintana ML, et al. Light pollution: the possible consequences of excessive illumination on retina. Eye (Lond). 2016;30(2):255–63. https://doi.org/10.1038/eye.2015.221.CrossRef

45.

Touitou Y, Reinberg A, Touitou D. Association between light at night, melatonin secretion, sleep deprivation, and the internal clock: health impacts and mechanisms of circadian disruption. Life Sci. 2017;173:94–106. https://doi.org/10.1016/j.lfs.2017.02.008.CrossRefPubMed

46.

Voigt RM, Forsyth CB, Green SJ, et al. Circadian disorganization alters intestinal microbiota. PLoS One. 2014;9(5):e97500. https://doi.org/10.1371/journal.pone.0097500.CrossRefPubMedPubMedCentral

47.

Manenschijn L, Van Kruysbergen RGPM, Jong D, et al. Shift work at young age is associated with elevated long-term cortisol levels and body mass index. Metabolism. 2011;96(11):1862–5. https://doi.org/10.1210/jc.2011-1551.CrossRef

48.

Kantermann T. Circadian biology: sleep-styles shaped by light-styles. Curr Biol. 2013;23(16):689–90. https://doi.org/10.1016/j.cub.2013.06.065.CrossRef

49.

Berti LV, Campos J, Ramos A, et al. Posição Da SBCBM - Nomenclatura e Definições Para os Resultados em Cirurgia Bariátrica e Metabólica. Arq Bras Cir Dig. 2015;29 Suppl 1(Suppl 1):102–6. https://doi.org/10.1590/S0102-6720201500S100002.CrossRef

50.

Brown FC, Buboltz WC, Soper B. Development and evaluation of the sleep treatment and education program for students (STEPS). J Am Coll Heal. 2006;54(4):231–7. https://doi.org/10.3200/JACH.54.4.231-7.CrossRef

51.

Kloss JD, Nash CO, Walsh CM, et al. “Sleep 101” program for college students improves sleep hygiene knowledge and reduces maladaptive beliefs about sleep. Behav Med. 2015;42(1):48–56. https://doi.org/10.1080/08964289.2014.969186.CrossRefPubMed

52.

Facer-Childs ER, Middleton B, Skene DJ, et al. Resetting the late timing of “night owls” has a positive impact on mental health and performance. Sleep Med. 2019;60:236–47. https://doi.org/10.1016/j.sleep.2019.05.001.CrossRefPubMed

53.

Boivin DB, James FO. Light treatment and circadian adaptation to shift work. Ind Health. 2005;43(1):34–48. https://doi.org/10.2486/indhealth.43.34.CrossRefPubMed

54.

Garaulet M, Gómez-Abellán P, Alburquerque-Béjar JJ, et al. Timing of food intake predicts weight loss effectiveness. Int J Obes. 2013;37(4):604–11. https://doi.org/10.1038/ijo.2012.229.CrossRef

55.

Oike H, Oishi K, Kobori M. Nutrients, clock genes, and chrononutrition. Curr Nutr Rep. 2014;3(3):204–12. https://doi.org/10.1007/s13668-014-0082-6.CrossRefPubMedPubMedCentral

56.

Oda H. Chrononutrition. J Nutr Sci Vitaminol. 2015;61(Suppl):S92–4. https://doi.org/10.3177/jnsv.61.s92.CrossRefPubMed

57.

Ketchum ES, Morton JM. Disappointing weight loss among shift workers after laparoscopic gastric bypass surgery. Obes Surg. 2007;17(5):581–4. https://doi.org/10.1007/s11695-007-9100-8.CrossRefPubMed

58.

Books C, Coody LC, Kauffman R, et al. Night shift work and its health effects on nurses. Health Care Manag (Frederick). 2017;36(4):347–53. https://doi.org/10.1097/HCM.0000000000000177.CrossRef

59.

Bonnell E, Huggins C, Huggins C, et al. Influences on dietary choices during day versus night shift in shift workers: a mixed methods study. Nutrients. 2017;9(3):193. https://doi.org/10.3390/nu9030193.CrossRefPubMedCentral

60.

Ramin C, Devore EE, Wang W, et al. Night shift work at specific age ranges and chronic disease risk factors. Occup Environ Med. 2014;72(2):100–7. https://doi.org/10.1136/oemed-2014-102292.CrossRefPubMedPubMedCentral

61.

Ruiz-Lozano T, Vidal J, Hollanda A, et al. Evening-chronotype associates with obesity in severe obese subjects: interaction with CLOCK 3111T/C. Int J Obes. 2016;40(10):1550–7. https://doi.org/10.1038/ijo.2016.116.CrossRef

62.

Chaput JP, Despres JP, Bouchard C, et al. The association between short sleep duration and weight gain is dependent on disinhibited eating behavior in adults. Sleep. 2011;34(10):1291–7. https://doi.org/10.5665/SLEEP.1264.CrossRefPubMedPubMedCentral

63.

McHill AW, Phillips JK, Czeisler AC, et al. Later circadian timing of food intake is associated with increased body fat. Am J Clin Nutr. 2017;106(5):1213–9. https://doi.org/10.3945/ajcn.117.161588.CrossRefPubMedPubMedCentral

64.

Baron KG, Reid KJ, Wolfe LF, et al. Phase relationship between DLMO and sleep onset and the risk of metabolic disease among Normal weight and overweight/obese adults. J Biol Rhythm. 2017;33(1):76–83. https://doi.org/10.1177/0748730417745914.CrossRef

65.

Bass J, Takahashi JS. Circadian integration of metabolism and energetics. Science. 2010;330(6009):1349–54. https://doi.org/10.1126/science.1195027.CrossRefPubMedPubMedCentral

66.

Bravo R, Cubero J, Franco L, et al. Body weight gain in rats by a high fat diet produces chronodisruption in activity/inactivity circadian rhythm. Chronobiol Int. 2014;31(3):363–70. https://doi.org/10.3109/07420528.2013.859151.CrossRefPubMed

67.

Malone SK, Zemel B, Compher C, et al. Social jet lag, chronotype and body mass index in 14–17-year-old adolescents. Chronobiol Int. 2016;33(9):1255–66. https://doi.org/10.1080/07420528.2016.1196697.CrossRefPubMedPubMedCentral

68.

Terman JS, Terman M, Lo E-S, et al. Circadian time of morning light administration and therapeutic response in winter depression. Arch Gen Psychiatry. 2001;58(1):69–75. https://doi.org/10.1001/archpsyc.58.1.69.CrossRefPubMed

Titel: Circadian Misalignment Is Negatively Associated with the Anthropometric, Metabolic and Food Intake Outcomes of Bariatric Patients 6 Months After Surgery
verfasst von: Aline Cunha Carvalho
Maria Carliana Mota
Luisa Pereira Marot
Luís Augusto Mattar
José Américo Gomides de Sousa
Ana Cristina Tomaz Araújo
Camila Thaís da Costa Assis
Cibele Aparecida Crispim
Publikationsdatum: 29.07.2020
Verlag: Springer US
Erschienen in: Obesity Surgery / Ausgabe 1/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04873-x

Neu im Fachgebiet Chirurgie

17.04.2024 | Postoperative nausea and vomiting | Nachrichten

Hochrisiko-Eingriffe für postoperative Übelkeit

16.04.2024 | Infektiologie | Nachrichten

Kein Abstrich bei chronischen Wunden ohne Entzündungszeichen!

10.04.2024 | Postoperative Schmerztherapie | Nachrichten

Chronische Schmerzen nach Op. oft mit neuropathischer Komponente

10.04.2024 | Narbenhernie | Nachrichten

Deutlich weniger Narbenhernien mit der Small-Bites-Technik

weitere anzeigen

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom CME-Kurs

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur CME-Kurs

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis CME-Kurs

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Circadian Misalignment Is Negatively Associated with the Anthropometric, Metabolic and Food Intake Outcomes of Bariatric Patients 6 Months After Surgery

Abstract

Purpose

Materials and Methods

Results

Conclusions

Trial Registration

Neu im Fachgebiet Chirurgie

Hochrisiko-Eingriffe für postoperative Übelkeit

Kein Abstrich bei chronischen Wunden ohne Entzündungszeichen!

Chronische Schmerzen nach Op. oft mit neuropathischer Komponente

Deutlich weniger Narbenhernien mit der Small-Bites-Technik

Update Chirurgie

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Materials and Methods

Results

Conclusions

Trial Registration

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2021

Thirty-Day Outcomes of Bariatric Surgery in Adolescents: a First Look at the MBSAQIP Database

Gastric Fistula in the Chest After Sleeve Gastrectomy: a Systematic Review of Diagnostic and Treatment Options

One Anastomosis/Mini-Gastric Bypass (OAGB/MGB) as Revisional Surgery Following Primary Restrictive Bariatric Procedures: a Systematic Review and Meta-Analysis

A Step-by-Step Surgical Technique Video of Revision of Roux-en-Y Gastric Bypass with Limb Distalization

Internal Herniation Incidence After RYGB and the Predictive Ability of a CT Scan as a Diagnostic Tool

Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS) IFSO Position Statement—Update 2020

Neu im Fachgebiet Chirurgie

Hochrisiko-Eingriffe für postoperative Übelkeit

Kein Abstrich bei chronischen Wunden ohne Entzündungszeichen!

Chronische Schmerzen nach Op. oft mit neuropathischer Komponente

Deutlich weniger Narbenhernien mit der Small-Bites-Technik

Update Chirurgie

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“