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胃套和胃绕道:在两年的随访后体重的变化 - - 哪个更有效?
Alexandra Rabello Freire1, Flávio Kreimer2, Denise Sandrelly Cavalcanti de Lima1
1Universidade Federal de Pernambuco, Clinical Nutrition Unit, University Hospital - Recife (PE), Brazil.
概括
胃绕道显示了比胃袖手术更大的减肥效果,在手术后的一年和两年. 体重复发发生在两种方法中,特别是胃袖,但并不表明手术失败.
科学领域:
- 腹部外科手术的结果
- 肥胖治疗的有效性 肥胖治疗的有效性
- 体重管理研究 研究 体重管理研究
背景情况:
- 减肥手术是对肥胖的主要治疗方法.
- 体重复发率在手术技术之间有很大的差异.
研究的目的:
- 为了比较胃绕道术后的体重变化与胃袖手术.
- 为了评估体重减轻和重复的一年和两年后的体重减轻和重复.
主要方法:
- 在184名成年患者 (136名胃袖,48名胃旁路) 的截面研究中.
- 两年的随访分析了人体统计,社会人口统计,临床和生活方式数据.
- 评估多种维生素的坚持,饮食和体育活动.
主要成果:
- 胃绕道术在一年和两年内显示出显著更高的减肥和超重减肥百分比.
- 胃袖手术 (2.37公斤) 后,平均体重增加更高.
- 在两组中,体重复发发生在两年后,受到饮食的影响,在胃外套后的比例更高.
结论:
- 胃绕道在手术后12个月和24个月减肥更有效.
- 对于这两种手术,在24个月后观察到体重复发,特别是在胃袖组.
- 观察到的体重复发并不能否定任何一种减肥技术的整体成功.
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