Zhonghua Wai Ke Za Zhi. 2018 Feb 1;56(2):81-90. doi: 10.3760/cma.j.issn.0529-5815.2018.02.001.
Obesity is associated with many chronic diseases and has become a major public health problem all over the world. Although weight loss includes lifestyle modification, psychological and medical treatment, bariatric surgery remains an effective treatment for morbidly obese patients. Due to the lack of multidisciplinary management and long-term nutrition monitoring, some patients are suffering from malnutrition, functional impairment and other issues after bariatric surgery. This consensus is commissioned by the Nutrition and Metabolism Cooperation Group of Chinese Society for Parenteral and Enteral Nutrition and Bariatric Multidisciplinary Team of Peking Union Medical College Hospital. This consensus summarizes the latest research results and refers to some recommendations in guidelines both at home and abroad. The detailed evidence-based recommendations allow for nuance-based clinical decision-making that addresses the multiple aspects of real-world medical care of patients with obesity to develop consensus on bariatric surgery and nutritional management among obese patients in multidisciplinary mode, including preoperative evaluation, perioperative management, postoperative long-term follow-up and nutritional management. The goal is to facilitate high-quality care of patients with obesity and provide a rational, scientifically based approach to management that optimizes health outcomes and safety.
肥胖与许多慢性疾病相关，已成为全球主要的公共卫生问题。尽管减肥包括生活方式改变、心理和医学治疗，但减肥手术仍然是病态肥胖患者的有效治疗方法。由于缺乏多学科管理和长期营养监测，一些患者在减肥手术后出现营养不良、功能障碍等问题。本共识由中华医学会肠外肠内营养学分会营养与代谢协作组及北京协和医院减重多学科团队共同发起。本共识总结了最新研究成果，并参考了国内外指南中的一些建议。详细的循证建议允许基于细微差别的临床决策，该决策涉及肥胖患者现实世界医疗护理的多个方面，以多学科模式就肥胖患者的减肥手术和营养管理达成共识，包括术前评估、围手术期管理、术后长期随访和营养管理。目标是促进肥胖患者的高质量护理，并提供一种合理、科学的管理方法，以优化健康结果和安全性。
