向编辑致信:体重维持作为代谢和腹部外科手术的指标
Sonja Chiappetta1, Roxanna Zakeri2
1Department of General Surgery, Center of Excellence for Bariatric and Metabolic Surgery, Ospedale Evangelico Betania, Naples, Italy. drschiappetta@gmail.com.
Obesity surgery
|March 20, 2025
概括
长期保持体重是一个挑战. 这项研究质疑代谢和减肥手术 (MBS) 是否应考虑在正常体重或超重但需要在先前的肥胖治疗后保持体重的个体.
科学领域:
- 肥胖医学 肥胖医学
- 腹部外科 腹部外科
- 代谢健康 代谢健康
背景情况:
- 肥胖是一种慢性,复发性疾病,具有显著的长期体重维持挑战.
- 目前的医疗保健资金往往限制了新陈代谢和减肥手术 (MBS) 在正常或超重个体的体重维持.
- 由于并发症而去除胃带引发了对持续减肥的修订性MBS的问题.
研究的目的:
- 探索MBS在正常体重或超重患者的体重维持中的潜在作用.
- 解决肥胖药物的使用增加和随后的治疗中止的影响.
- 评估是否有严重肥胖史,在其他治疗方法失败后,MBS可以用于体重维护.
主要方法:
- 文献审查和临床病例分析.
- 讨论当前的融资结构和对MBS的处理准则.
- 分析胃带切除和药物治疗停止后患者的结果.
主要成果:
- 在中断肥胖治疗后,重复增加体重是常见的.
- 对于正常/超重个体的体重维护而言,有限的MBS访问提供了护理上的差距.
- 修订MBS可能是一个可行的选择,在选择的患者群体中持续控制体重.
结论:
- 在有严重肥胖病史的患者中,体重维持应被视为MBS的潜在迹象.
- 需要进一步的研究和政策变化来支持MBS的长期体重管理.
- 将MBS整合到全面的肥胖护理模式中,对于应对治疗中止挑战至关重要.
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