Clínica Baretta, Curitiba, Brazil.
Department of Surgery, Faculty of Medical Sciences, State University of Campinas UNICAMP-SP, Campinas Sao Paulo, Brazil.
Obes Surg. 2021 Mar;31(3):1290-1303. doi: 10.1007/s11695-020-05164-1. Epub 2021 Jan 3.
Weight regain is a multifactorial condition that affects many patients following bariatric surgery. The purpose of the paper is to review the multidisciplinary approach for the management of weight regain. We performed a search in current clinical evidence regarding the causes, consequences, and treatments of weight regain. The multidisciplinary approach with periodic monitoring is of fundamental importance to prevent or treat weight regain. Several therapeutic options are ranging from nutritional to surgical options, which should be tailored according to patients' anatomy, lifestyle behavior, and compliance. Specialized multidisciplinary care is the key to achieve optimal long-term weight loss and maintenance goals following bariatric surgery.
体重反弹是一种多因素的情况,影响许多接受过减重手术后的患者。本文的目的是回顾管理体重反弹的多学科方法。我们对有关体重反弹的原因、后果和治疗的当前临床证据进行了检索。定期监测的多学科方法对于预防或治疗体重反弹至关重要。有多种治疗选择,从营养到手术选择,应根据患者的解剖结构、生活方式行为和依从性进行调整。专门的多学科护理是实现减重手术后长期最佳减肥和维持目标的关键。