Mahawar Kamal K, Parmar Chetan, Carr William R J, Jennings Neil, Schroeder Norbert, Balupuri Shlok, Small Peter K
Bariatric Unit, Department of Surgery, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK,
Obes Surg. 2015 Aug;25(8):1527-33. doi: 10.1007/s11695-015-1738-z.
Preoperative interventions aimed at patients referred for bariatric surgery continue to divide funders, commissioners, and practitioners alike. A number of preoperative interventions and variables have been used to influence patient selection. Many of these are believed to lead to better postoperative outcomes by helping target a limited resource (bariatric surgery) at those most likely to benefit. Inevitably, this leads to competition amongst patients and some being denied benefits of surgery. There is a risk that these strategies for resource allocation may actually deprive the most vulnerable and those most in need. This review examines evidence and justification behind popular preoperative interventions for patients being considered for bariatric surgery patients in the light of published English language scientific literature.
针对接受减肥手术的患者的术前干预措施，在资助者、医疗服务专员和从业者之间仍然存在分歧。许多术前干预措施和变量已被用于影响患者的选择。其中许多措施被认为通过帮助将有限的资源（减肥手术）用于最有可能受益的患者，从而带来更好的术后效果。不可避免地，这导致了患者之间的竞争，一些患者被剥夺了手术的益处。这些资源分配策略可能实际上剥夺了最脆弱和最需要的人群的权益。本综述根据已发表的英文科学文献，审视了针对考虑接受减肥手术的患者的常见术前干预措施背后的证据和理由。
