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怀孕对减肥的影响 在之前的腹手术后
Robin Berk1, Diego L Lima1, Miriam Steinberger1
1Department of Surgery, Montefiore Medical Center, Bronx, New York, USA.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|September 21, 2023
概括
减肥手术后的怀孕,包括腹腔镜袖子胃切除术 (SG) 和Roux-en-Y胃绕道 (RYGB),不会显著影响长期减肥. 妇女可以期待类似的过量BMI损失百分比,不管她们在手术后是否怀孕.
科学领域:
- 腹腔外科手术是什么意思
- 生殖健康 生殖健康
- 肥胖管理 肥胖管理
背景情况:
- 腹部外科手术对于生育年龄的女性来说是很常见的.
- 腹腔镜袖胃切除术 (SG) 和Roux-en-Y胃旁路术 (RYGB) 是主要的手术.
- 怀孕对减肥结果的影响需要评估.
研究的目的:
- 为了分析怀孕对SG和RYGB.过量BMI损失百分比 (EBMIL%) 的影响.
- 为了比较手术后怀孕和没有怀孕的女性之间的减肥结果.
- 为了评估4年随访后的体重维持情况.
主要方法:
- 对191名女性患者 (20-40岁) 的回顾性研究.
- 包括2017年1月至2018年12月期间接受SG或RYGB的患者.
- 在怀孕 (n=32) 和非怀孕 (n=159) 组之间的4年随访后比较EBMIL%.
主要成果:
- 怀孕 (50.4%) 和非怀孕 (55.5%) 组之间的EBMIL%没有显著差异.
- 在两组中观察到类似的中位数手术后的BMI和体重.
- 体重减轻维护在4年随访时是可比的.
结论:
- 手术后怀孕不会对 SG 和 RYGB 后的减肥维护产生负面影响.
- 接受减肥手术的女性,无论怀孕状态如何,都能保持成功的减肥.
- 研究结果支持减肥手术对生育年龄妇女的安全性和有效性.
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