在腹手术之前大量减肥与更糟糕的结果有关
Cody Ness1, Marcoandrea Giorgi2, John Pickering2
1Brown Surgical Associates, Brown University, Providence, United States. CNess@brownhealth.org.
Obesity surgery
|February 7, 2026
概括
在减肥手术前减掉超过10%的体重与术后并发症的增加有关. 虽然有些减肥是有益的,过度的手术前减肥应该谨慎处理.
科学领域:
- 腹腔外科手术的结果
- 肥胖的并发症 肥胖的并发症
- 手术患者的准备手术患者的准备
背景情况:
- 减肥对与肥胖相关的疾病有积极的影响.
- 10%的手术前减肥与胃绕道术后的并发症减少有关.
- 手术前的减肥通常在减肥手术之前被强制要求,通常约为10%.
研究的目的:
- 评估在接受减肥手术的患者中广泛的术前减肥和术后结果之间的关联.
主要方法:
- 他们比较了在手术前减掉超过10%的最大体重的患者和没有减掉10%的患者.
- 从2015年到2021年利用了MBSAQIP数据库,包括超过130万名患者.
主要成果:
- 手术前体重减轻>10%的患者有更高的重复手术,出血,急救诊所和脱水率.
- 这些患者的死亡率和再入院率也较高,但在多变量分析后,这些数据在统计学上并没有保持显著.
- 多变量逻辑回归证实并发症的显著差异,控制患者因素和手术类型.
结论:
- 在减肥手术前进行手术前的减肥可能是有益的.
- 在手术前失去超过10%的体重与更糟糕的结果有关,因此需要谨慎.
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