obese patients, who can see migraine stark, as they fade or be researchers say less frequently after the weight-reducing gastric bypass surgery, University of Iowa.
In the three years after surgery 70 percent of patients reported migraine-free and more than 18 percent saw their migraines a ne researchers reduced from five to two per month, found.
"The association between migraine and obesity is controversial," said lead researcher Dr. Isaac Samuel, Director of the University of Iowa obesity surgery program. "Some people say that there is greater risk for migraine in obese people;" others say that the symptoms become worse, "he said."
Could occur a number of reasons why migraine of gastric bypass surgery has posted, including hormonal changes according to the procedure or certain produced by fat cells, said Samuel proteins.
"Severely obese patients with migraine should be encouraged, have gastric bypass surgery if they want to alleviate the symptoms," Samuel said. "Moreover, people who are overweight, but not severely overweight should be encouraged to lose weight if they have migraine."
The results of the study were presented on the basis of Wednesday on the 28th annual meeting of the American society for metabolic & system surgery in Orlando, Florida are because the study is small and it is published in a peer-review journal, should its findings preliminary be considered.
Like all other operations, bariatric surgery carries some medical risks, including. serious infections, internal bleeding, blood clots, and death, according to the American society for metabolic & Bariatric Surgery (ASMBA). The Organization reports that the overall risk of serious complications is about 4 percent and the risk of dying a 1,000 is.
Weight loss surgery is performed depending on the nature of the procedure costs $17,000 35,000 US dollars or more also expensive,.
For the study team reviewed the medical records of 702 patients who undergo gastric bypass surgery from March 2000 to September 2009 by Samuel. In addition to that obese, suffered from the patients with migraine. These patients 81 for the current study were selected.
The researchers found that gastric bypass surgery improved or completely reduced migraines in most patients. The most pronounced effect among the patients being whose headaches started after they became obese, the researchers note.
Of those who had their first migraine before he obese, 46 percent was migraine free and experience, by Samuel group says some improvements to 29 percent.
These findings were independent of problems relating to migraine such as depression, anxiety or sleep apnea, the researchers added.
Other causes of headaches in obese are Pseudotumor Cerebri or idiopathic cerebral pressure, which is an increase in the pressure around the brain, which can feel like migraine, and can be caused by obesity. This type of headache respond well to gastric bypass surgery, the researchers found.
The study, Dr. Elizabeth Loder, commented head of headache and pain at Brigham and women's Hospital in Boston, that "this is an interesting observation, but the data seem relatively temporary."
In the absence of a control group, said it is not possible to say whether the surgery and the following weight loss really "caused the improvement migraine," it.
"Migraine is a condition, the natural waxes and wanes," said Loder. "Some of the improvement could reflect just this variable disease activity." It is also the case, the people, the operation of any kind often temporary improvement in headache to submit report, "she said."
Can differ without a similar group of patients who undergo not operation not among these possibilities, Loder said.
"It is also unclear about what is meant by, partial and no resolution, completely said Loder."It very, very unusual for any treatment would cause complete resolution of migraine ", she said."
Other experts, Dr. Richard B. Lipton, Deputy Chairman of Neurology and Director of the Center headache Montefiore at the Albert Einstein College of medicine in New York City, felt that the need for more research highlights the results.
"These data are compatible with the epidemiological studies showing that obesity a risk factor for migraine is progression," he said. "There's also another published observational show that the weight loss after bariatric surgery in relation to the extent improved migraine." "Randomized are badly required studies."
By Steven Reinberg
from:weight loss
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