Recommendations on the management of severe obesity in patients with inflammatory bowel disease of the Spanish Group on Crohn’s Disease and Ulcerative Colitis (GETECCU), Spanish Society of Obesity (SEEDO), Spanish Association of Surgery (AEC) and Spanish Society of Digestive Endoscopy (SEED) Article Swipe

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Eugeni Domènech , Andreea Ciudin , José M. Balibrea , Eduard Espinet-Coll , Fiorella Cañete , Lílliam Flores , Manuel Ferrer‐Márquez , Román Turró , Alejandro Hernández-Camba , Yamile Zabana , Ana Gutiérrez , José M. Balibrea , Manuel Barreiro‐de Acosta , Javier Butragueño , Fiorella Cañete , Andreea Ciudin Mihai , Ana B. Crujeiras , Andrés J. del Pozo-García , Eugeni Domènech , José Miguel Esteban López-Jamar , Eduard Espinet-Coll , Manuel Ferrer‐Márquez , Lílliam Flores , María Dolores Frutos , Ana Gutiérrez , Alejandro Hernández-Camba , Míriam Mañosa , Francisco Rodríguez‐Moranta , Fàtima Sabench , Román Turró , Yamile Zabana ·

YOU? · · 2024 · Open Access · · DOI: https://doi.org/10.1016/j.gastre.2024.04.051

Obesity is a multifactorial, chronic, progressive and recurrent disease considered a public health issue worldwide and an important determinant of disability and death. In Spain, its current prevalence in the adult population is about 24% and an estimated prevalence in 2035 of 37%. Obesity increases the probability of several diseases linked to higher mortality such as diabetes, cardiovascular disease, hyperlipidemia, arterial hypertension, non-alcoholic fatty liver disease, several types of cancer, or obstructive sleep apnea. On the other hand, although the incidence of inflammatory bowel disease (IBD) is stabilizing in Western countries, its prevalence already exceeds 0.3%. Paralleling to general population, the current prevalence of obesity in adult patients with IBD is estimated at 15%–40%. Obesity in patients with IBD could entail, in addition to its already known impact on disability and mortality, a worse evolution of the IBD itself and a worse response to treatments. The aim of this document, performed in collaboration by four scientific societies involved in the clinical care of severe obesity and IBD, is to establish clear and concise recommendations on the therapeutic possibilities of severe or type III obesity in patients with IBD. The document establishes general recommendations on dietary, pharmacological, endoscopic, and surgical treatment of severe obesity in patients with IBD, as well as pre- and post-treatment evaluation. La obesidad es una enfermedad multifactorial, crónica, progresiva y recidivante considerada un problema de salud pública a nivel mundial y un importante determinante de discapacidad y muerte. En España su prevalencia actual en población adulta se sitúa en el 24% y se estima su incremento hasta el 37% en 2035. La obesidad aumenta la probabilidad de diversas enfermedades vinculadas a una mayor mortalidad como diabetes, enfermedades cardiovasculares, hiperlipidemia, hipertensión arterial, enfermedad del hígado graso no alcohólico, varios tipos de cáncer o apnea obstructiva del sueño. Por otra parte, aunque la incidencia de enfermedad inflamatoria intestinal (EII) se está estabilizando en los países occidentales, su prevalencia supera ya el 0,3%. Paralelamente a lo que ocurre en la población general, la prevalencia actual de obesidad en pacientes adultos con EII se estima en el 15%–40%. La obesidad en pacientes con EII podría comportar, además de su impacto sobre la discapacidad y mortalidad ya conocido, una peor evolución de la EII y peor respuesta a los tratamientos. El objetivo del presente documento, elaborado en colaboración por cuatro sociedades científicas implicadas en la atención médica de la obesidad grave y la EII, es establecer unas recomendaciones claras y concisas sobre las posibilidades terapéuticas de la obesidad grave en pacientes con EII. En el documento se establecen recomendaciones generales sobre el tratamiento dietético, farmacológico, endoscópico y quirúrgico de la obesidad grave en pacientes con EII, así como la evaluación pre y post-tratamiento.

Related Topics

Medicine

Inflammatory Bowel Disease

Concepts

Medicine Obesity Inflammatory bowel disease Disease Ulcerative colitis Population Incidence (geometry) Internal medicine Pediatrics Environmental health Physics Optics

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Type: article
Language: en
Landing Page: https://doi.org/10.1016/j.gastre.2024.04.051
OA Status: hybrid
References: 154
Related Works: 10
OpenAlex ID: https://openalex.org/W4401514455

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DOI: https://doi.org/10.1016/j.gastre.2024.04.051

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Title: Recommendations on the management of severe obesity in patients with inflammatory bowel disease of the Spanish Group on Crohn’s Disease and Ulcerative Colitis (GETECCU), Spanish Society of Obesity (SEEDO), Spanish Association of Surgery (AEC) and Spanish Society of Digestive Endoscopy (SEED)

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Language: en

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Publication year: 2024

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Publication date: 2024-08-01

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Authors: Eugeni Domènech, Andreea Ciudin, José M. Balibrea, Eduard Espinet-Coll, Fiorella Cañete, Lílliam Flores, Manuel Ferrer‐Márquez, Román Turró, Alejandro Hernández-Camba, Yamile Zabana, Ana Gutiérrez, José M. Balibrea, Manuel Barreiro‐de Acosta, Javier Butragueño, Fiorella Cañete, Andreea Ciudin Mihai, Ana B. Crujeiras, Andrés J. del Pozo-García, Eugeni Domènech, José Miguel Esteban López-Jamar, Eduard Espinet-Coll, Manuel Ferrer‐Márquez, Lílliam Flores, María Dolores Frutos, Ana Gutiérrez, Alejandro Hernández-Camba, Míriam Mañosa, Francisco Rodríguez‐Moranta, Fàtima Sabench, Román Turró, Yamile Zabana

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Landing page: https://doi.org/10.1016/j.gastre.2024.04.051

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OA URL: https://doi.org/10.1016/j.gastre.2024.04.051

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Concepts: Medicine, Obesity, Inflammatory bowel disease, Disease, Ulcerative colitis, Population, Incidence (geometry), Internal medicine, Pediatrics, Environmental health, Physics, Optics

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