Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Am J Gastroenterol. 2021 May 1;116(5):918-934. doi: 10.14309/ajg.0000000000001200.
With worsening of the obesity pandemic, gastroenterologists will see more patients with this chronic disease. Given the association between obesity and several gastrointestinal conditions and the interplay between obesity pathophysiology and gut hormones, gastroenterologists can play an important role in the management of this disease. Furthermore, because more patients undergo bariatric surgery, an understanding of postsurgical anatomy and medical and endoscopic management of bariatric surgical complications is essential. This article provides clinical tools for the assessment and management of obesity for the general gastroenterologist. Tables containing high-yield practical information are also provided for quick reference.
随着肥胖症大流行的恶化,胃肠病学家将看到更多患有这种慢性病的患者。鉴于肥胖与多种胃肠道疾病之间的关联,以及肥胖病理生理学与肠道激素之间的相互作用,胃肠病学家可以在这种疾病的管理中发挥重要作用。此外,由于更多的患者接受了减重手术,因此了解手术后的解剖结构以及减重手术并发症的医学和内镜管理至关重要。本文为普通胃肠病学家提供了评估和管理肥胖症的临床工具。还提供了包含高收益实用信息的表格,以供快速参考。