Tewksbury Colleen, Williams Noel N, Dumon Kristoffel R, Sarwer David B
Penn Metabolic and Bariatric Surgery Program, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 4th Floor Silverstein, Philadelphia, PA, 19104, USA.
Center for Obesity Research and Education, College of Public Health, Temple University, 3223 N. Broad Street, Suite 175, Philadelphia, PA, 19140, USA.
Obes Surg. 2017 Jan;27(1):208-214. doi: 10.1007/s11695-016-2422-7.
Bariatric surgery is the most robust treatment for extreme obesity. The impact of preoperative medical weight management sessions designed, in theory, with the primary goal of promoting preoperative weight loss, is unclear. This paper reviews studies that have investigated the relationship between preoperative weight loss and bariatric surgical outcomes, both with respect to postoperative weight loss and complications. We conclude that the most robust of preoperative interventions has not been implemented or evaluated in a manner which would conclusively assess the value of this element of care. We offer a reconsideration of the role of preoperative medical weight management and provide recommendations for future research in this area.
减重手术是治疗极度肥胖最有效的方法。理论上,术前医学体重管理课程的主要目标是促进术前体重减轻,但其影响尚不清楚。本文回顾了一些研究,这些研究调查了术前体重减轻与减重手术结果之间的关系,包括术后体重减轻和并发症方面。我们得出结论,最有效的术前干预措施尚未以能够最终评估这一护理要素价值的方式得到实施或评估。我们重新审视了术前医学体重管理的作用,并为该领域的未来研究提供了建议。