PMID- 30764886
OWN - NLM
STAT- MEDLINE
DCOM- 20200330
LR  - 20200330
IS  - 2523-3106 (Electronic)
IS  - 2523-3106 (Linking)
VI  - 59
IP  - 1
DP  - 2019 Feb 14
TI  - Axial Spondyloarthritis after bariatric surgery: a 7-year retrospective analysis.
PG  - 8
LID - 10.1186/s42358-019-0050-3 [doi]
AB  - BACKGROUND: In recent decades, obesity has become a public health problem in many 
      countries. The objective of this study was to evaluate the main joint and 
      extra-articular manifestations related to spondyloarthritis (SpA) after bariatric 
      surgery (BS) in a retrospective cohort. METHODS: Demographic, clinical, 
      laboratory and imaging data from nine patients whose SpA symptoms started after a 
      BS have been described. Modified New York (mNY) criteria for ankylosing 
      spondylitis (AS) and the Assessment of Spondyloarthritis International Society 
      (ASAS) criteria for axial (ax-SpA) and peripheral (p-SpA) spondyloarthritis were 
      applied. RESULTS: The mean weight reduction after BS was 49.3 +/- 21.9 kg. The BS 
      techniques were Roux-en-Y gastric bypass (n = 8; 88.9%) and biliopancreatic 
      diversion with duodenal switch (n = 1; 11.1%). Four (44.4%) patients had no axial 
      or peripheral pain complaints before BS, while the other four (44.4%) had 
      sporadic non-inflammatory back pain that had been attributed to obesity. One 
      patient (11.1%) had persistent chronic back pain. In all nine cases, patients 
      reported back pain onset or pattern (intensity or night pain) change after BS 
      (mean time 14.7 +/- 18 months). In addition, 8 of them (88.9%) were human leukocyte 
      antigen (HLA)-B27 positive. All nine patients could be classified according to 
      ASAS criteria as ax-SpA and five (55.6%) patients were classified as AS, 
      according to the mNY criteria. CONCLUSION: Our data highlight a temporal link 
      between SpA onset symptoms and the BS, suggesting a possible causal plausibility 
      between the two events.
FAU - de Oliveira, Thauana Luiza
AU  - de Oliveira TL
AUID- ORCID: 0000-0001-8028-9497
AD  - Rheumatology Division, Spondyloarthritis Section, Universidade Federal de Sao 
      Paulo, Rua Leandro Dupre, 204, Conjunto 74, Vila Clementino, Sao Paulo, SP, CEP 
      04025-010, Brazil. thauanareumato@gmail.com.
FAU - Libanori, Hilton Telles
AU  - Libanori HT
AD  - Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
FAU - Pinheiro, Marcelo M
AU  - Pinheiro MM
AD  - Rheumatology Division, Spondyloarthritis Section, Universidade Federal de Sao 
      Paulo, Rua Leandro Dupre, 204, Conjunto 74, Vila Clementino, Sao Paulo, SP, CEP 
      04025-010, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20190214
PL  - England
TA  - Adv Rheumatol
JT  - Advances in rheumatology (London, England)
JID - 101734172
RN  - 0 (HLA-B27 Antigen)
SB  - IM
MH  - Adult
MH  - Age of Onset
MH  - Back Pain/etiology
MH  - Bariatric Surgery/*adverse effects/methods
MH  - Chronic Pain/etiology
MH  - Female
MH  - HLA-B27 Antigen/blood
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/complications
MH  - Pain, Postoperative/blood/*etiology
MH  - Retrospective Studies
MH  - Spondylarthritis/blood/*etiology
MH  - Weight Loss
OTO - NOTNLM
OT  - Bariatric surgery
OT  - HLA-B27
OT  - Spondyloarthritis
EDAT- 2019/02/16 06:00
MHDA- 2020/03/31 06:00
CRDT- 2019/02/16 06:00
PHST- 2018/08/24 00:00 [received]
PHST- 2019/01/30 00:00 [accepted]
PHST- 2019/02/16 06:00 [entrez]
PHST- 2019/02/16 06:00 [pubmed]
PHST- 2020/03/31 06:00 [medline]
AID - 10.1186/s42358-019-0050-3 [pii]
AID - 10.1186/s42358-019-0050-3 [doi]
PST - epublish
SO  - Adv Rheumatol. 2019 Feb 14;59(1):8. doi: 10.1186/s42358-019-0050-3.