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Published in: Obesity Surgery 12/2020

01-12-2020 | Central Nervous System Trauma | Review

Bypassing TBI: Metabolic Surgery and the Link between Obesity and Traumatic Brain Injury—a Review

Authors: T. W. McGlennon, J. N. Buchwald, Walter J. Pories, Fang Yu, Arthur Roberts, Eric P. Ahnfeldt, Rukmini Menon, Henry Buchwald

Published in: Obesity Surgery | Issue 12/2020

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Abstract

Obesity is a common outcome of traumatic brain injury (TBI) that exacerbates principal TBI symptom domains identified as common areas of post-TBI long-term dysfunction. Obesity is also associated with increased risk of later-life dementia and Alzheimer’s disease. Patients with obesity and chronic TBI may be more vulnerable to long-term mental abnormalities. This review explores the question of whether weight loss induced by bariatric surgery could delay or perhaps even reverse the progression of mental deterioration. Bariatric surgery, with its induction of weight loss, remission of type 2 diabetes, and other expressions of the metabolic syndrome, improves metabolic efficiency, leads to reversal of brain lesions seen on imaging studies, and improves function. These observations suggest that metabolic/bariatric surgery may be a most effective therapy for TBI.
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Metadata
Title
Bypassing TBI: Metabolic Surgery and the Link between Obesity and Traumatic Brain Injury—a Review
Authors
T. W. McGlennon
J. N. Buchwald
Walter J. Pories
Fang Yu
Arthur Roberts
Eric P. Ahnfeldt
Rukmini Menon
Henry Buchwald
Publication date
01-12-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-05065-3

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