Lee Phong Ching, Dixon John
Aust Fam Physician. 2017;46(7):465-471.
Bariatric-metabolic surgery has emerged as an attractive option that offers significant and durable weight loss in the treatment of clinically severe obesity. Given the high prevalence of obesity, and growing numbers of bariatric-metabolic surgeries performed, primary care physicians increasingly encounter patients who have had, or are considering, bariatric-metabolic surgery.
The aim of this article is to provide guidance on common issues pertaining to bariatric-metabolic surgery that general practitioners (GPs) face, including patient selection, preoperative work-up, acute and long-term complications following the surgery, and long-term lifestyle and nutritional support.
In properly selected patients with clinically severe obesity, there is clear net benefit in terms of improved health outcomes and reduced mortality following bariatric-metabolic surgery. Similarly to other chronic conditions, GPs play a crucial role in the management of obesity, and in the multidisciplinary, long-term postoperative support and monitoring that is important for optimal outcomes after surgery.
减重代谢手术已成为一种有吸引力的选择，在治疗临床严重肥胖症方面能实现显著且持久的体重减轻。鉴于肥胖症的高患病率以及进行减重代谢手术的人数不断增加，基层医疗医生越来越多地遇到已接受或正在考虑接受减重代谢手术的患者。
本文旨在为全科医生（GP）在减重代谢手术相关常见问题上提供指导，包括患者选择、术前检查、术后急性和长期并发症，以及长期生活方式和营养支持。
在经过恰当选择的临床严重肥胖患者中，减重代谢手术在改善健康结局和降低死亡率方面有明显的净效益。与其他慢性疾病类似，全科医生在肥胖症管理以及对术后最佳效果至关重要的多学科长期术后支持和监测中发挥着关键作用。
