Departments of General and Gastrointestinal Surgery Endocrinology and Nutrition, Hospital Clínico San Carlos, Complutense University Medical School, Martín Lagos s/n, 28040 Madrid, Spain.
Eur J Endocrinol. 2011 Aug;165(2):171-6. doi: 10.1530/EJE-11-0357. Epub 2011 May 20.
Bariatric and metabolic surgery is experiencing a noteworthy increase worldwide in recent years, but protocols and consensus published in the past decade have not yet established clear evidence-based clinical recommendations. The Endocrine Society, with the participation of the European Society of Endocrinology, has promoted the creation of an expert panel to propose a clinical practice guideline for postoperative management of patients, candidates to bariatric surgery, that places a particular emphasis on evidence-based medical aspects. The main arguments reflected in those recommendations are set out in this article and are subject to analysis and discussion from the specific viewpoint of the current European experience.
近年来,减重与代谢手术在全球范围内得到了显著的发展,但过去十年发表的方案和共识尚未为临床提供明确的循证推荐。内分泌学会联合欧洲内分泌学会共同促成了一个专家小组的建立,旨在为减重手术候选者的术后管理制定临床实践指南,特别强调循证医学方面。本文阐述了这些推荐中的主要论点,并从当前欧洲经验的具体角度对其进行了分析和讨论。