|
1
|
Eley VA, Thuzar M, Navarro S, Dodd BR, Zundert AAV. Obesity, metabolic syndrome, and inflammation: an update for anaesthetists caring for patients with obesity. Anaesth Crit Care Pain Med 2021; 40:100947. [PMID: 34534700 DOI: 10.1016/j.accpm.2021.100947] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 03/11/2021] [Accepted: 03/20/2021] [Indexed: 11/25/2022]
Abstract
Our understanding of chronic inflammation in obesity is evolving. Suggested mechanisms include hypoxia of adipose tissue and a subsequent increase in circulating cytokines. It is now known that adipose tissue, far from being an inert tissue, produces and secretes multiple peptides that influence inflammation and metabolism, including substrates of the renin-angiotensin-aldosterone system (RAAS). RAAS blocking antihypertensive medication and cholesterol-lowering agents are now being evaluated for their metabolic and inflammation-modulating effects. Surgery also has pro-inflammatory effects, which may be exacerbated in patients with obesity. This narrative review will summarise the recent literature surrounding obesity, metabolic syndrome, inflammation, and interplay with the RAAS, with evidence-based recommendations for the optimisation of patients with obesity, prior to surgery and anaesthesia.
Collapse
Affiliation(s)
- Victoria A Eley
- Department of Anaesthesia and Perioperative Medicine, The Royal Brisbane and Women's Hospital, Butterfield St, Herston, 4006 Queensland, Australia; Faculty of Medicine, The University of Queensland, St Lucia, 4067 Queensland, Australia.
| | - Moe Thuzar
- Faculty of Medicine, The University of Queensland, St Lucia, 4067 Queensland, Australia; Department of Endocrinology and Diabetes, Princess Alexandra Hospital, Ipswich Road Woolloongabba, 4102 Queensland, Australia; Endocrine Hypertension Research Centre, The University of Queensland Diamantina Institute, Ipswich Road Woolloongabba, 4102 Queensland, Australia
| | - Séverine Navarro
- Department of Immunology, QIMR Berghofer Medical Research Institute Herston Rd, Herston, 4006 Queensland, Australia; Woolworths Centre for Childhood Nutrition Research, Faculty of Health, School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, 4059 Queensland, Australia
| | - Benjamin R Dodd
- Faculty of Medicine, The University of Queensland, St Lucia, 4067 Queensland, Australia; Department of Upper GI and Bariatric Surgery, The Royal Brisbane and Women's Hospital, Butterfield St, Herston, 4006 Queensland, Australia
| | - André A Van Zundert
- Department of Anaesthesia and Perioperative Medicine, The Royal Brisbane and Women's Hospital, Butterfield St, Herston, 4006 Queensland, Australia; Faculty of Medicine, The University of Queensland, St Lucia, 4067 Queensland, Australia
| |
Collapse
|
|
2
|
Affiliation(s)
- Michael C Auld
- School of Medicine, Discipline of Surgery, Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
| | - Benjamin R Dodd
- Upper Gastro-Intestinal and Soft Tissue Unit, Discipline of Surgery, Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
| | - Andrew P Barbour
- Upper Gastro-Intestinal and Soft Tissue Unit, Discipline of Surgery, Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
| | - Mark Smithers
- Upper Gastro-Intestinal and Soft Tissue Unit, Discipline of Surgery, Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
| |
Collapse
|
|
3
|
R. Dodd B, A. Spence R. Doxycycline Inhibition of Abdominal Aortic Aneurysm Growth - A Systematic Review of the Literature. Curr Vasc Pharmacol 2011; 9:471-8. [DOI: 10.2174/157016111796197288] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2010] [Revised: 05/03/2010] [Accepted: 07/05/2010] [Indexed: 11/22/2022]
|
|
4
|
Dodd BR, Dan A. Laparoscopic optical trocar insertion with umbilical traction suture. Ann R Coll Surg Engl 2008; 89:634. [PMID: 18210671 DOI: 10.1308/rcsann.2007.89.6.634a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- B R Dodd
- Department of Surgery, Mid-Ulster Hospital, Magherafelt, UK.
| | | |
Collapse
|
|
5
|
Affiliation(s)
- BR Dodd
- Department of Surgery, Ulster Hospital Dundonald Belfast, UK
| | - K Mccallion
- Department of Surgery, Ulster Hospital Dundonald Belfast, UK
| |
Collapse
|