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减肥手术的额外准备计划:大型队列研究的两年结果
Yentl Lodewijks1, Misha Luyer1, Gust van Montfort1
1Department of Surgery Catharina Hospital Eindhoven The Netherlands.
Obesity science & practice
|October 9, 2023
概括
额外的准备计划 (APP) 在减肥手术后没有改善减肥. 然而,与标准护理相比,APP组的糖尿病缓解率较高.
科学领域:
- 腹腔外科手术的结果
- 肥胖管理 肥胖管理
- 代谢性疾病的缓解缓解.
背景情况:
- 建议对减肥手术候选人进行多学科查.
- 一些中心提供额外的准备计划 (APP),以优化患者的手术前状态.
研究的目的:
- 为了比较APP与减肥手术患者的标准护理的有效性.
- 为了评估2年后手术后体重减轻和并发症解决的差异.
主要方法:
- 在Roux-en-Y胃绕道和袖子胃切除术患者的回顾性队列研究 (2017年9月至2019年3月).
- 接受APP和标准护理的患者之间的比较.
- 多变量线性回归分析以确定减肥的预测因素.
主要成果:
- 在APP (28.8%) 和标准护理 (32%) 组之间,2年后总体重减轻的百分比没有显著差异 (p=0.001).
- APP可以预测手术后体重的下降.
- 糖尿病缓解在APP组 (84.1%) 与标准护理 (61.9%) 相比显著更高 (p=0.028).
结论:
- 在初级减肥手术后实现有效的减肥,没有必要进行额外的准备计划.
- 在APP组中,糖尿病患者的缓解率有所提高.
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