Bour Eric S
Hillcrest Memorial Hospital, Greenville Health System Quality and Patient Safety Council, University of South Carolina School of Medicine - Greenville, UMG Bariatric and Minimal Access Surgery, Greenville, SC.
Curr Sports Med Rep. 2015 Mar-Apr;14(2):100-3. doi: 10.1249/JSR.0000000000000135.
Despite aims at prevention, obesity in the United States is now an epidemic. Along with the rise in obesity, the United States has experienced a concomitant rise in obesity-related comorbidities. Furthermore overweight and obesity present a major economic public health challenge. Physicians are likely to recommend weight loss to their overweight patients. Diet, exercise, and behavior modification are often effective during the course of treatment but are subject to recidivism and post-treatment weight gain. Obesity intervention mandates that providers consider the need for surgery in many cases. The three most commonly performed weight loss surgical procedures in the United States include gastric banding, gastric bypass, and sleeve gastrectomy. Patients undergoing surgery lose considerable amounts of excess weight and experience marked improvement in many other obesity-related comorbidities. Surgery is a proven therapy for patients who do not respond to less invasive measures and should be considered mainstream therapy in the treatment of the obesity epidemic.
尽管旨在预防，但肥胖在美国现已成为一种流行病。随着肥胖率的上升，美国与肥胖相关的合并症也随之增加。此外，超重和肥胖对经济和公共卫生构成了重大挑战。医生可能会建议超重患者减肥。饮食、运动和行为改变在治疗过程中通常是有效的，但容易复发且治疗后体重会增加。肥胖干预要求医疗服务提供者在许多情况下考虑手术的必要性。美国最常进行的三种减肥手术包括胃束带术、胃旁路手术和袖状胃切除术。接受手术的患者减掉了大量多余的体重，许多其他与肥胖相关的合并症也有显著改善。对于那些对侵入性较小的措施无反应的患者，手术是一种经过验证的治疗方法，应被视为治疗肥胖流行的主流疗法。
