Tewksbury Colleen, Isom Kellene A
Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, 3400 Spruce Street, Silverstein Building, 4th Floor, Philadelphia, PA 19104 USA.
California State Polytechnic University, Pomona, CA USA.
Curr Treat Options Gastroenterol. 2022;20(3):366-375. doi: 10.1007/s11938-022-00388-9. Epub 2022 Jun 24.
Bariatric surgery is the most effective and durable treatment for severe obesity. Postoperative behavioral weight management approaches are available for optimizing weight change for both short- and long-term outcomes.
Varying settings such as groups and telemedicine along with techniques such as cognitive behavioral therapy have been assessed in the post-bariatric surgery population. The assessment and application of these programs have been limited due to methodological, financial, and attrition-related constraints.
This review aims to summarize the current evidence for different postoperative behavioral interventions on postoperative outcomes, specifically highlighting weight loss. Future opportunities for study include mechanisms for overcoming some of the barriers to implementing these programs in clinical, non-research settings.
减肥手术是治疗重度肥胖最有效且持久的方法。术后行为体重管理方法可用于优化短期和长期结果中的体重变化。
减肥手术后人群中已对不同的环境（如小组和远程医疗）以及认知行为疗法等技术进行了评估。由于方法学、财务和与损耗相关的限制，这些项目的评估和应用受到了限制。
本综述旨在总结目前关于不同术后行为干预对术后结果影响的证据，特别强调体重减轻。未来的研究机会包括克服在临床非研究环境中实施这些项目的一些障碍的机制。
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