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减肥手术后十年的体重增加:患病率,预测因素和代谢影响
Sara Ribeiro1,2, Patrícia Ferreira3,4, Bruno Lima5
1Department of Endocrinology, Diabetes and Metabolism, São João Local Health Unit, Porto, Portugal.
Obesity facts
|November 11, 2025
概括
在减肥手术 (BS) 后的十年内,体重恢复是常见的,特别是在袖子胃切除术 (SG) 后. 起初的2型糖尿病可能会降低体重恢复的风险,但长期的并发症影响需要更多的研究.
科学领域:
- 腹部外科手术的结果
- 肥胖问题研究研究
- 代谢手术 代谢手术
背景情况:
- 减肥手术 (BS) 对严重肥胖有效.
- 在BS后的长期体重恢复 (WR) 可能会影响并发症的结果.
研究的目的:
- 在减肥手术 (BS) 后分析长期体重恢复 (WR).
- 评估WR对并发症结局的影响.
- 为了比较Roux-en-Y胃绕道 (RYGB) 和袖子胃切除术 (SG) 之间的WR.
主要方法:
- 353名患者的回顾性分析,在BS之后进行了10年的随访.
- WR计算为恢复的最大体重损失的百分比.
- 患者分为维护者 (WR ≤20%) 或恢复者 (WR >20%).
主要成果:
- 10年后的平均WR为28%,高于SG (41.37%) 和RYGB (26.17%).
- 56.7%的患者被归类为恢复者.
- 基线2型糖尿病 (T2D) 与WR风险降低有关 (OR=0.59).
结论:
- 在BS经过十年的体重恢复是常见的,特别是在SG之后.
- WR没有显著影响并发性疾病的复发 (T2D,高血压,脂质失调).
- 为了长期管理,需要对WR的标准化定义.
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