Nationella indikationer för Obesitaskirurgi
Nationella indikationer för Obesitaskirurgi
Nationella indikationer för Obesitaskirurgi
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NIOK 2.0 sid 21 (62)<br />
Referenser<br />
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resistance and hypercytokinemia. J Clin Endocrinol Metab 2000; 85:1151-8.<br />
4. Valencia-Flores M et al. Effect of Bariatric Surgery on Obstructive Sleep Apnea and Hypopnea Syndrome,<br />
Electrocardiogram, and Pulmonary Arterial Pressure. Obes Surg 2004; 14:755-62.<br />
5. Simard B et al. Asthma and Sleep Apnea in Patients with Morbid Obesity: Outcome after Bariatric Surgery.<br />
Obes Surg 2004; 14:1381-8.<br />
6. Rasheid S et al. Gastric Bypass is an Effective Treatment for Obstructive Sleep Apnea in Patients with<br />
Clinically Significant Obesity. Obes Surg 2003; 13:58-61.<br />
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7. Hjärtkärlsjukdom<br />
Bakgrund<br />
Hjärtsjukdomar utgör en av de vanligaste dödsorsakerna idag och det finns en klar koppling<br />
mellan hjärtsjukdom och övervikt (tabell 1) visat i en stor amerikansk studie med drygt 16<br />
000 deltagare representativt valt ur befolkningen (1). Risken att utveckla hypertoni, höga<br />
kolesterol nivåer och hjärtsjukdom ökade med 2.3, 0.7 respektive 1.5 gånger hos kvinnor och<br />
3.0, 1.3 respektive 2.2 gånger hos män under en tioårsperiod vid BMI ≥35 kg/m 2 (2). Kraftigt<br />
överviktiga har även en hög risk <strong>för</strong> att utveckla typ 2 diabetes med höga blodsockernivåer.<br />
Detta tillsammans med högt blodtryck och <strong>för</strong>höjda blodfetter utgör tillsammans de största<br />
riskfaktorerna <strong>för</strong> att utveckla hjärtkärlsjukdom.
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