Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

被引：277

作者：

Busetto, Luca ^{[1
]}

Dicker, Dror ^{[2
,3
]}

Azran, Carmil ^{[4
]}

Batterham, Rachel L. ^{[5
,6
,7
]}

Farpour-Lambert, Nathalie ^{[8
,9
]}

Fried, Martin ^{[10
]}

Hjelmesaeth, Joran ^{[11
,12
]}

Kinzl, Johann ^{[13
]}

Leitner, Deborah R. ^{[14
]}

Makaronidis, Janine M. ^{[5
,7
]}

Schindler, Karin ^{[15
]}

Toplak, Hermann ^{[14
]}

Yumuk, Volkan ^{[16
]}

机构：

[1] Univ Padua, Dept Internal Med, Padua, Italy

[2] Tel Aviv Univ, Hasharon Hosp, Dept Internal Med D, Sackler Sch Med,Rabin Med Ctr, Tel Aviv, Israel

[3] Tel Aviv Univ, Hasharon Hosp, Obes Clin, Sackler Sch Med,Rabin Med Ctr, Tel Aviv, Israel

[4] Herzliya Med Ctr, Clin Pharm, Herzliyya, Israel

[5] UCL, Rayne Inst, Dept Med, Ctr Obes Res, London, England

[6] Univ Coll London Hosp, Bariatr Ctr Weight Management & Metab Surg, London, England

[7] Univ Coll London Hosp, Natl Inst Hlth Res, Biomed Res Ctr, London, England

[8] Univ Hosp Geneva, Obes Prevent & Care Program Contrepoids, Serv Therapeut Educ Chron Dis, Dept Community Med Primary Care & Emergency, Geneva, Switzerland

[9] Univ Geneva, Geneva, Switzerland

[10] Charles Univ Prague, Fac Med 1, Ctr Treatment Obes & Metab Disorders, OB Klin, Prague, Czech Republic

[11] Univ Oslo, Morbid Obes Ctr, Vestfold Hosp Trust, Oslo, Norway

[12] Univ Oslo, Dept Endocrinol Morbid Obes & Prevent Med, Inst Clin Med, Oslo, Norway

[13] Med Univ Innsbruck, Dept Psychiat & Psychotherapy 2, Innsbruck, Austria

[14] Med Univ Graz, Dept Med, Graz, Austria

[15] Med Univ Vienna, Dept Med 3, Vienna, Austria

[16] Istanbul Univ, Div Endocrinol Metab & Diabet, Dept Med, Cerrahpasa Med Fac, Istanbul, Turkey

来源：

OBESITY FACTS | 2017年 / 10卷 / 06期

基金：

美国国家卫生研究院;

关键词：

European guidelines; Obesity management; Bariatric surgery; Nutrition; Diabetes mellitus; Sleep apnoea; Hypertension; Pregnancy; Psychological aspects; Weight maintenance; OBSTRUCTIVE SLEEP-APNEA; Y GASTRIC BYPASS; HEALTH NUTRITIONAL GUIDELINES; CLINICAL-PRACTICE GUIDELINES; WEIGHT-LOSS; PREGNANCY OUTCOMES; AMERICAN SOCIETY; DUMPING SYNDROME; FOLLOW-UP; VITAMIN-D;

D O I：

10.1159/000481825

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived from current evidences and existing guidelines. A short list of clinical practical recommendations is included for each item. It remains clear that referral to a bariatric multidisciplinary centre, preferably the one performing the original procedure, should be considered in case of more complex clinical situations. (c) 2017 The Author(s) Published by S. Karger GmbH, Freiburg

引用

页码：597 / 632

页数：36

共 160 条

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