The Role of Ursodeoxycholic Acid After Bariatric Surgery

Alexis López Alonso, Hector Gabriel Zamora Valenzuela
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Abstract

Background: currently obesity and overweight are two of the major public health problems worldwide, which haunts the health of more and more young people around the world, as this problem advances so does medicine, treatments and surgical procedures, such is the case of bariatric surgeries, which can have a great positive impact on the lives of patients who undergo these procedures, however, there are also post-surgical complications, such as acute cholestatic syndromes, which are becoming more and more frequent, so finding and describing a treatment to avoid these complications could be a fundamental piece in the management of these patients. Methods: We conducted a purely observational and descriptive study by collecting data and information through a national and international literature review, where we selected control cases and meta-analysis which are detailed and described during this review. Results: During the last years the popularity of the use of ursodeoxycholic acid has grown, since it has been mentioned its use out of indications as a prophylactic treatment after bariatric surgery, this alternative may sound favorable for the treating physician and for the patient, since it is safe and avoids complications according to different studies. Conclusions: Multiple studies, including all those reviewed during this research show a highly positive benefit of the use of ursodeoxycholic acid, it is noteworthy that during this research, the only study that does not mention a positive effect of the use of ursodeoxycholic acid is the study of Muriel Coupaye et al. which mentions that no difference was found between the groups treated and not treated with ursodeoxycholic acid with 500mg/day.
减肥手术后熊去氧胆酸的作用
背景:目前,肥胖和超重是全球两大公共卫生问题,困扰着全世界越来越多年轻人的健康,随着这一问题的发展,医学、治疗方法和外科手术也在不断进步,减肥手术就是其中之一,它能对接受这些手术的患者的生活产生巨大的积极影响,然而,手术后也会出现并发症,如急性胆汁淤积综合征,这种并发症的发生率越来越高,因此,找到并描述一种避免这些并发症的治疗方法可能是治疗这些患者的一个基本要素。研究方法我们进行了一项纯观察性和描述性研究,通过国内外文献综述收集数据和信息,其中我们选择了对照病例并进行了荟萃分析,本综述对这些病例进行了详细描述。研究结果在过去的几年中,熊去氧胆酸的使用越来越普及,因为它已被提及作为减肥手术后的预防性治疗而被用于适应症之外,根据不同的研究,这种替代疗法听起来对治疗医生和患者都很有利,因为它既安全又能避免并发症。结论值得注意的是,在这项研究中,唯一没有提到熊去氧胆酸有积极作用的研究是 Muriel Coupaye 等人的研究,其中提到熊去氧胆酸 500 毫克/天的治疗组和非治疗组之间没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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