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关于肥胖管理的定义和临床实践指南的IFSO共识 - - 国际德尔菲研究
Paulina Salminen1,2, Lilian Kow3, Ali Aminian4
1Department of Surgery, University of Turku, Turku, Finland. paulina.salminen@tyks.fi.
Obesity surgery
|November 24, 2023
概括
国际专家就代谢性减肥手术 (MBS) 的标准化定义和报告达成共识. 这项工作有助于制定肥胖管理的临床实践指南,有利于像Roux-en-Y胃绕道和袖子胃切除术这样的程序.
科学领域:
- 肥胖管理 肥胖管理
- 代谢性减肥手术 代谢性减肥手术
- 临床实践指南 临床实践指南
背景情况:
- 肥胖管理需要标准化的定义和对手术干预的共识.
- 代谢性减肥手术 (MBS) 是治疗严重肥胖症的一个关键组成部分.
- 现有的指导方针可能缺乏关于特定MBS程序和患者选择的共识.
研究的目的:
- 为了实现专家在肥胖管理和MBS的标准化定义上达成共识.
- 确定国际专家之间关于MBS的共识和分歧的领域.
- 旨在为治疗肥胖症的临床实践指南算法的开发提供信息.
主要方法:
- 一项为期三轮的德尔菲调查,涉及43名国际肥胖管理专家.
- 专家包括减肥外科医生,内镜医生,内分泌学家,营养学家,辅导员,内科医生和儿科医生.
- 共识被定义为在136个陈述上≥70%的选民之间达成一致.
主要成果:
- 在MBS所有15个基本的定义和报告陈述上达成共识.
- 强烈的共识有利于Roux-en-Y胃绕道,袖子胃切除术和内镜袖子胃整形术.
- 在65岁以上和18岁以下的患者,BMI>50公斤/米2,以及患有肥胖相关并发症的患者中,共识支持MBS.
结论:
- 通过专家的共识,为MBS制定了标准化的定义和报告标准.
- 这些发现支持一种多式联络方法来治疗肥胖症,包括MBS.
- 这种共识有助于为肥胖管理制定全面的临床实践指南.
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