减肥手术后减肥维护 减肥手术后减肥维护
Young-Hye Cho1,2, Youngin Lee2, Jung In Choi2
1Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, South Korea.
World journal of clinical cases
|July 14, 2023
概括
代谢和减肥手术 (MBS) 有效治疗肥胖,但体重恢复 (WR) 是常见的. 识别风险因素和使用多学科护理,改变生活方式和潜在的药物是管理MBS后WR的关键.
科学领域:
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
- 代谢健康 代谢健康
背景情况:
- 代谢和减肥手术 (MBS) 是对病态肥胖和相关并发症的首要治疗方法.
- 在MBS取得初步成功后,重量恢复 (WR) 是一个重大的临床挑战.
- 目前术后WR的定义缺乏标准化,使研究和临床实践复杂化.
研究的目的:
- 审查代谢和减肥手术 (MBS) 后重量恢复 (WR) 的多方面性质.
- 确定导致WR的手术前风险因素.
- 讨论目前和潜在的WR预防和管理策略.
主要方法:
- 在代谢和减肥手术后恢复体重的研究文献综述.
- 对解剖学,种族,激素,代谢,行为和心理风险因素的分析.
- 评估生活方式干预和抗肥胖药物的作用.
主要成果:
- 在MBS之后重量恢复受到多个因素的复杂相互作用的影响.
- 对这些风险因素的术前评估对于个性化患者护理至关重要.
- 生活方式干预和药理疗法显示出希望,但需要进一步的强有力的研究.
结论:
- 在MBS后有效管理WR需要长期,多学科的方法.
- 需要进一步的精心设计的研究来优化生活方式干预措施,并确定抗肥胖药物在WR预防和管理中的作用.
- 标准化WR定义对于推进研究和临床结果至关重要.
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