减肥手术后体重减轻失败的定义、机制及预测因素
Definition, Mechanisms and Predictors of Weight Loss Failure After Bariatric Surgery.
作者信息
Kim Eun Young
机构信息
Department of Surgery, Uijeongbu St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
出版信息
J Metab Bariatr Surg. 2022 Dec;11(2):39-48. doi: 10.17476/jmbs.2022.11.2.39. Epub 2023 Feb 3.
Abstract
It has been proven that surgery is more effective than non-surgical treatment in obese patients. However, this approach has several disadvantages, especially long-term weight loss. Weight loss failures can be broadly classified into two categories; insufficient weight loss (poor responder) and weight regain. However, a unified definition has not been established yet for each category, and there is no clear standard for the post-surgery time point to be used to assess weight loss failure. In addition, analyzing factors that contribute to weight loss failure will lead to strategies for reducing it. Therefore, many researchers have been interested in this subject and have published conflicting results. This review presents a definition for and describes the mechanisms and predictors of weight loss failure after bariatric surgery.
摘要
已经证明，手术在肥胖患者中比非手术治疗更有效。然而，这种方法有几个缺点，尤其是长期体重减轻方面。体重减轻失败可大致分为两类：体重减轻不足（反应不佳者）和体重反弹。然而，尚未为每一类建立统一的定义，并且对于用于评估体重减轻失败的术后时间点也没有明确的标准。此外，分析导致体重减轻失败的因素将有助于制定减少失败的策略。因此，许多研究人员对这一主题感兴趣并发表了相互矛盾的结果。本综述提出了一个关于减肥手术后体重减轻失败的定义，并描述了其机制和预测因素。
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