Multidisciplinary Approach for Weight Regain-how to Manage this Challenging Condition: an Expert Review

被引:42
作者
Cambi, Maria Paula Carlin [1 ]
Baretta, Giorgio Alfredo Pedroso [1 ]
Magro, Daniela De Oliveira [2 ]
Boguszewski, Cesar Luiz [3 ]
Ribeiro, Igor Braga [4 ]
Jirapinyo, Pichamol [5 ]
de Moura, Diogo Turiani Hourneaux [4 ,5 ]
机构
[1] Clin Baretta, Curitiba, Parana, Brazil
[2] State Univ Campinas UNICAMP SP, Fac Med Sci, Dept Surg, Campinas, SP, Brazil
[3] Univ Fed Parana, Dept Internal Med, Curitiba, Parana, Brazil
[4] Univ Sao Paulo, Sch Med, Gastrointestinal Endoscopy Unit, Hosp Clin, Ave Dr Eneas de Carvalho Aguiar,225,6o Andar, BR-05403010 Sao Paulo, Brazil
[5] Harvard Med Sch, Brigham & Womens Hosp, Div Gasteoenterol Hepatol & Endoscopy, Boston, MA 02115 USA
关键词
Weight; Obesity; Weight regain; Bariatric surgery; Y GASTRIC BYPASS; POST-BARIATRIC SURGERY; TRANSORAL OUTLET REDUCTION; ARGON PLASMA COAGULATION; GUT MICROBIOTA; PHYSICAL-ACTIVITY; EATING BEHAVIOR; SLEEVE GASTRECTOMY; ENERGY-INTAKE; RISK-FACTORS;
D O I
10.1007/s11695-020-05164-1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Weight regain is a multifactorial condition that affects many patients following bariatric surgery. The purpose of the paper is to review the multidisciplinary approach for the management of weight regain. We performed a search in current clinical evidence regarding the causes, consequences, and treatments of weight regain. The multidisciplinary approach with periodic monitoring is of fundamental importance to prevent or treat weight regain. Several therapeutic options are ranging from nutritional to surgical options, which should be tailored according to patients' anatomy, lifestyle behavior, and compliance. Specialized multidisciplinary care is the key to achieve optimal long-term weight loss and maintenance goals following bariatric surgery.
引用
收藏
页码:1290 / 1303
页数:14
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