Pinto-Bastos Ana, Conceição Eva M, Machado Paulo P P
School of Psychology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal.
Obes Surg. 2017 Oct;27(10):2707-2715. doi: 10.1007/s11695-017-2855-7.
Reoperative surgery following the failure of primary bariatric surgery is increasing due to the significant rates of patients experiencing poor weight loss or medical complications. This literature review was conducted to organize the emerging, but scattered, literature regarding the reasons for undergoing surgery, the best available options, the predictors of success, and the psychological characteristics of patients submitted to reoperative surgeries. Reoperative procedures are technically challenging, but the possible benefits of reoperation supplant the increased risks associated with these procedures. The etiology of reasons for undergoing a second surgery includes medical (e.g., fistula, ulcer disease) and behavioral aspects. Factors that may compromise outcomes have not been much studied. Particular attention should be paid to candidates with a history of difficulties in engaging in healthy eating patterns.
由于初次减肥手术失败后体重减轻不佳或出现医疗并发症的患者比例较高，再次手术的情况正在增加。进行这项文献综述是为了整理关于再次手术的原因、最佳可用选择、成功的预测因素以及接受再次手术患者的心理特征等新出现但分散的文献。再次手术在技术上具有挑战性，但再次手术可能带来的益处超过了与这些手术相关的增加风险。进行二次手术的原因包括医学方面（如瘘管、溃疡病）和行为方面。可能影响手术结果的因素尚未得到充分研究。对于有难以养成健康饮食模式病史的患者应给予特别关注。
