Endocrine, metabolic and bariatric Unit, General Surgery Department, Hospital Vall d'Hebron, Center of Excellence for the EAC-BC, Universitat Autònoma de Barcelona, Barcelona, Spain.
Clinical Nutritión Unit, Endocrinology and Nutrition Service, University Hospital "Virgen del Rocío", Seville, Spain.
Obes Surg. 2019 Dec;29(12):3842-3853. doi: 10.1007/s11695-019-04043-8.
Bariatric surgery is the method of choice for the management or treatment of obesity. Bariatric surgery brings about several physiological changes in the body and is associated with set of complications. The aim of this study is to provide guidelines on post bariatric surgery management based on consensus by the Spanish society for Obesity Surgery (Sociedad Española de Cirugía de la Obesidad) (SECO) and the Spanish Society for the Study of Obesity (Sociedad Española para el Estudio de la Obesidad) (SEEDO).
The boards proposed seven experts from each society. The experts provided the evidence and a grade of recommendation on the selected topics based on systematic reviews/meta-analysis. A list of clinical practical recommendations levels of evidence and grades of these recommendations was derived from the consensus statements from the members of these societies.
Seventeen topics related to post-operative management were reviewed after bariatric surgery. The experts came with 47 recommendations and statements. The mean number of persons voting at each statement was 54 (range 36-76).
In this consensus, we have designed a set of guidelines to be followed while managing patients after bariatric surgery. Expertise and knowledge of the clinicians are required to convey suitable considerations to the post-bariatric patients. There should also be extensive follow-up plans for the bariatric surgery patients.
减重手术是肥胖管理或治疗的首选方法。减重手术会使身体发生多种生理变化，并伴有一系列并发症。本研究旨在根据西班牙肥胖手术学会（Sociedad Española de Cirugía de la Obesidad）（SECO）和西班牙肥胖研究学会（Sociedad Española para el Estudio de la Obesidad）（SEEDO）的共识，提供减重手术后管理指南。
两个学会各自推荐了 7 名专家。专家们根据系统评价/荟萃分析提供了选定主题的证据和推荐等级。从这些学会成员的共识声明中得出了一套临床实用建议的证据水平和推荐等级列表。
在减重手术后，对 17 个与术后管理相关的主题进行了回顾。专家们提出了 47 条建议和声明。每个声明的投票人数平均为 54 人（范围为 36-76 人）。
在这项共识中，我们设计了一套指南，用于指导减重手术后患者的管理。需要临床医生的专业知识和技能，向减重后患者传达适当的考虑因素。还应该为减重手术患者制定广泛的随访计划。
