The Effect of Bariatric Surgery on Peripheral Polyneuropathy: a Systematic Review and Meta-analysis
Neurological complications such as peripheral neuropathies are the most common complications among patients with morbid obesity following bariatric surgery. Reduction in nutrient intake especially thiamin may develop polyneuropathy, while neuropathic symptoms improved in patients with diabetes indep...
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| Veröffentlicht in: | Obesity surgery 2019-09, Vol.29 (9), p.3010-3020 |
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| creator | Aghili, Rokhsareh Malek, Mojtaba Tanha, Kiarash Mottaghi, Azadeh |
| description | Neurological complications such as peripheral neuropathies are the most common complications among patients with morbid obesity following bariatric surgery. Reduction in nutrient intake especially thiamin may develop polyneuropathy, while neuropathic symptoms improved in patients with diabetes independent of glycemic control after bariatric surgery. The aim of the present review is to investigate the effect of bariatric surgery on peripheral neuropathy. Electronic literature search was done via scientific search engines. After the removal of duplicates and selection of articles of interest, 4 studies were included. A random effects model was applied in this meta-analysis. Considering the pooled analysis, bariatric surgery was significantly associated with Neuropathy Symptoms Score (NSS) (ES = − 3.393, 95% CI (− 4.507, − 2.278), and
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| doi_str_mv | 10.1007/s11695-019-04004-1 |
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P
value < 0.0001). Reduction in NSS for patients with type 2 diabetes and BMI < 35 kg/m
2
who were insulin-dependent was more than patients with morbid obesity without diabetes. Furthermore, neuropathy disability score (NDS) significantly decreased in patients having bariatric surgery (ES = − 0.626, 95% CI (− 1.120, − 0.132), and
P
value < 0.013). The NDS significantly decreased in patients with type 2 diabetes and BMI < 35 kg/m
2
treated with insulin as well as patients with morbid obesity and type 2 diabetes. In subgroup of patients with follow-up of more than 6 months after surgery, a significant reduction in NDS was detected while this reduction was not significant in patients with a follow-up of 6 months or less. Bariatric surgery had a positive effect on peripheral neuropathy, though many studies showed neuropathy as one of the complications of bariatric surgery.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-019-04004-1</identifier><identifier>PMID: 31256355</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Bariatric Surgery - statistics & numerical data ; Blood Glucose - metabolism ; Diabetes ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - surgery ; Diabetic Neuropathies - epidemiology ; Diabetic Neuropathies - prevention & control ; Energy Intake - physiology ; Female ; Gastrointestinal surgery ; Humans ; Insulin - metabolism ; Male ; Medicine ; Medicine & Public Health ; Meta-analysis ; Obesity ; Obesity, Morbid - epidemiology ; Obesity, Morbid - surgery ; Peripheral Nervous System Diseases - epidemiology ; Peripheral Nervous System Diseases - etiology ; Peripheral Nervous System Diseases - prevention & control ; Peripheral neuropathy ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Review Article ; Surgery ; Systematic review</subject><ispartof>Obesity surgery, 2019-09, Vol.29 (9), p.3010-3020</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Obesity Surgery is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a90078b3684d4946190fb06ebeb7205776f885d61d97aec424bfefdb00d949cb3</citedby><cites>FETCH-LOGICAL-c375t-a90078b3684d4946190fb06ebeb7205776f885d61d97aec424bfefdb00d949cb3</cites><orcidid>0000-0002-1325-8946</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-019-04004-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-019-04004-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31256355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aghili, Rokhsareh</creatorcontrib><creatorcontrib>Malek, Mojtaba</creatorcontrib><creatorcontrib>Tanha, Kiarash</creatorcontrib><creatorcontrib>Mottaghi, Azadeh</creatorcontrib><title>The Effect of Bariatric Surgery on Peripheral Polyneuropathy: a Systematic Review and Meta-analysis</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Neurological complications such as peripheral neuropathies are the most common complications among patients with morbid obesity following bariatric surgery. Reduction in nutrient intake especially thiamin may develop polyneuropathy, while neuropathic symptoms improved in patients with diabetes independent of glycemic control after bariatric surgery. The aim of the present review is to investigate the effect of bariatric surgery on peripheral neuropathy. Electronic literature search was done via scientific search engines. After the removal of duplicates and selection of articles of interest, 4 studies were included. A random effects model was applied in this meta-analysis. Considering the pooled analysis, bariatric surgery was significantly associated with Neuropathy Symptoms Score (NSS) (ES = − 3.393, 95% CI (− 4.507, − 2.278), and
P
value < 0.0001). Reduction in NSS for patients with type 2 diabetes and BMI < 35 kg/m
2
who were insulin-dependent was more than patients with morbid obesity without diabetes. Furthermore, neuropathy disability score (NDS) significantly decreased in patients having bariatric surgery (ES = − 0.626, 95% CI (− 1.120, − 0.132), and
P
value < 0.013). The NDS significantly decreased in patients with type 2 diabetes and BMI < 35 kg/m
2
treated with insulin as well as patients with morbid obesity and type 2 diabetes. In subgroup of patients with follow-up of more than 6 months after surgery, a significant reduction in NDS was detected while this reduction was not significant in patients with a follow-up of 6 months or less. Bariatric surgery had a positive effect on peripheral neuropathy, though many studies showed neuropathy as one of the complications of bariatric surgery.</description><subject>Adult</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Bariatric Surgery - statistics & numerical data</subject><subject>Blood Glucose - metabolism</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - surgery</subject><subject>Diabetic Neuropathies - epidemiology</subject><subject>Diabetic Neuropathies - prevention & control</subject><subject>Energy Intake - physiology</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Insulin - metabolism</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Obesity</subject><subject>Obesity, Morbid - epidemiology</subject><subject>Obesity, Morbid - surgery</subject><subject>Peripheral Nervous System Diseases - epidemiology</subject><subject>Peripheral Nervous System Diseases - etiology</subject><subject>Peripheral Nervous System Diseases - prevention & control</subject><subject>Peripheral neuropathy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Review Article</subject><subject>Surgery</subject><subject>Systematic review</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1O3DAUhS1UxEyBF2CBLHXDJnD9EydmB4gWJBCIn7XlJNedjDLJYCegvH09hILURVeW5e9-ts8h5IDBMQPITgJjSqcJMJ2ABJAJ2yJzlkEetzz_RuagFSS55mJGvoewBOBMcb5DZoLxVIk0nZPyaYH00jkse9o5em59bXtfl_Rx8L_Rj7Rr6T36er1Abxt63zVji4Pv1rZfjKfU0scx9LiyfRx5wNca36htK3qLvU1sa5sx1GGPbDvbBNz_WHfJ88_Lp4ur5Obu1_XF2U1SiiztE6vjp_JCqFxWUkvFNLgCFBZYZBzSLFMuz9NKsUpnFkvJZeHQVQVApaUuC7FLjibv2ncvA4berOpQYtPYFrshGM5TUIJHc0R__IMuu8HH924oqWM-QvBI8YkqfReCR2fWvl5ZPxoGZlOBmSowsQLzXoHZqA8_1EOxwupz5G_mERATEOJRG0P-uvs_2j_EIZDL</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Aghili, Rokhsareh</creator><creator>Malek, Mojtaba</creator><creator>Tanha, Kiarash</creator><creator>Mottaghi, Azadeh</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1325-8946</orcidid></search><sort><creationdate>20190901</creationdate><title>The Effect of Bariatric Surgery on Peripheral Polyneuropathy: a Systematic Review and Meta-analysis</title><author>Aghili, Rokhsareh ; Malek, Mojtaba ; Tanha, Kiarash ; Mottaghi, Azadeh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a90078b3684d4946190fb06ebeb7205776f885d61d97aec424bfefdb00d949cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Bariatric Surgery - statistics & numerical data</topic><topic>Blood Glucose - metabolism</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - surgery</topic><topic>Diabetic Neuropathies - epidemiology</topic><topic>Diabetic Neuropathies - prevention & control</topic><topic>Energy Intake - physiology</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Insulin - metabolism</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Obesity</topic><topic>Obesity, Morbid - epidemiology</topic><topic>Obesity, Morbid - surgery</topic><topic>Peripheral Nervous System Diseases - epidemiology</topic><topic>Peripheral Nervous System Diseases - etiology</topic><topic>Peripheral Nervous System Diseases - prevention & control</topic><topic>Peripheral neuropathy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Review Article</topic><topic>Surgery</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aghili, Rokhsareh</creatorcontrib><creatorcontrib>Malek, Mojtaba</creatorcontrib><creatorcontrib>Tanha, Kiarash</creatorcontrib><creatorcontrib>Mottaghi, Azadeh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aghili, Rokhsareh</au><au>Malek, Mojtaba</au><au>Tanha, Kiarash</au><au>Mottaghi, Azadeh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Bariatric Surgery on Peripheral Polyneuropathy: a Systematic Review and Meta-analysis</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>29</volume><issue>9</issue><spage>3010</spage><epage>3020</epage><pages>3010-3020</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Neurological complications such as peripheral neuropathies are the most common complications among patients with morbid obesity following bariatric surgery. Reduction in nutrient intake especially thiamin may develop polyneuropathy, while neuropathic symptoms improved in patients with diabetes independent of glycemic control after bariatric surgery. The aim of the present review is to investigate the effect of bariatric surgery on peripheral neuropathy. Electronic literature search was done via scientific search engines. After the removal of duplicates and selection of articles of interest, 4 studies were included. A random effects model was applied in this meta-analysis. Considering the pooled analysis, bariatric surgery was significantly associated with Neuropathy Symptoms Score (NSS) (ES = − 3.393, 95% CI (− 4.507, − 2.278), and
P
value < 0.0001). Reduction in NSS for patients with type 2 diabetes and BMI < 35 kg/m
2
who were insulin-dependent was more than patients with morbid obesity without diabetes. Furthermore, neuropathy disability score (NDS) significantly decreased in patients having bariatric surgery (ES = − 0.626, 95% CI (− 1.120, − 0.132), and
P
value < 0.013). The NDS significantly decreased in patients with type 2 diabetes and BMI < 35 kg/m
2
treated with insulin as well as patients with morbid obesity and type 2 diabetes. In subgroup of patients with follow-up of more than 6 months after surgery, a significant reduction in NDS was detected while this reduction was not significant in patients with a follow-up of 6 months or less. Bariatric surgery had a positive effect on peripheral neuropathy, though many studies showed neuropathy as one of the complications of bariatric surgery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31256355</pmid><doi>10.1007/s11695-019-04004-1</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1325-8946</orcidid></addata></record> |
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| subjects | Adult Bariatric Surgery - adverse effects Bariatric Surgery - methods Bariatric Surgery - statistics & numerical data Blood Glucose - metabolism Diabetes Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - surgery Diabetic Neuropathies - epidemiology Diabetic Neuropathies - prevention & control Energy Intake - physiology Female Gastrointestinal surgery Humans Insulin - metabolism Male Medicine Medicine & Public Health Meta-analysis Obesity Obesity, Morbid - epidemiology Obesity, Morbid - surgery Peripheral Nervous System Diseases - epidemiology Peripheral Nervous System Diseases - etiology Peripheral Nervous System Diseases - prevention & control Peripheral neuropathy Postoperative Complications - epidemiology Postoperative Complications - etiology Review Article Surgery Systematic review |
| title | The Effect of Bariatric Surgery on Peripheral Polyneuropathy: a Systematic Review and Meta-analysis |
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