Markery biologiczne u pacjentów poddawanych chirurgii bariatrycznej
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W badaniu oceniano zachowanie się poziom�w IGF-1, glukozy i insuliny w osoczu w okresie przed- i pooperacyjnym u 45 pacjent�w poddanych operacji Fobi-Capella podzielonych na 4 grupy: bez otylości, przedoperacyjnie, pooperacyjnie 45 dni i pooperacyjnie 1 rok. Zaobserwowano, że średnia masa ciala i BMI zmniejszyly się znacząco po roku od operacji. Poziomy IGF-1 byly niższe u pacjent�w otylych w por�wnaniu z pacjentami eutroficznymi; po 45 dniach od operacji nastąpil dodatkowy spadek o 30,1% i; pacjenci rok po operacji mieli średnią podobną do pacjent�w bez otylości (251,50 98,72ng / ml i 329,09 89,83ng / ml). Wynik IGF-1 byl zgodny z obserwowanymi wcześniej trendami. Pooperacyjne wartości glikemii po 45 dniach (86,18 8,53 mg/dl) i po 1 roku (82,50 9,19 mg/dl) byly niższe niż przed operacją (94,54 23,70 mg/dl), a po 1 roku i w grupach bez otylości byly podobne. Średnie poziomy insuliny u pacjent�w 45 dni (9,26 4,86uU/ml) i rok (6,71 4,41uU/ml) po operacji byly niższe niż te stwierdzone przed operacją (62,56 47,53uU/ml) i podobne do grupy bez otylości. Wskaźnik HOMA-IR zmniejszyl się w grupach pooperacyjnych w por�wnaniu z grupą przedoperacyjną.
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Rich Dad Poor Dad: What the Rich Teach Their Kids about Money That the Poor and Middle Class Do Not!
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