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药物治疗作为肥胖症的减重手术辅助手段。

Pharmacotherapy as an Augmentation to Bariatric Surgery for Obesity.

机构信息

Diabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.

Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne and University of Manchester, Manchester, United Kingdom.

出版信息

Drugs. 2024 Aug;84(8):933-952. doi: 10.1007/s40265-024-02029-0. Epub 2024 Jul 6.


DOI:10.1007/s40265-024-02029-0
PMID:38970626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11343883/
Abstract

A global obesity pandemic is one of the most significant health threats worldwide owing to its close association with numerous comorbidities such as type 2 diabetes mellitus, arterial hypertension, dyslipidemia, heart failure, cancer and many others. Obesity and its comorbidities lead to a higher rate of cardiovascular complications, heart failure and increased cardiovascular and overall mortality. Bariatric surgery is at present the most potent therapy for obesity, inducing a significant weight loss in the majority of patients. In the long-term, a substantial proportion of patients after bariatric surgery experience a gradual weight regain that may, in some, reach up to a presurgical body weight. As a result, anti-obesity pharmacotherapy may be needed in some patients after bariatric surgery to prevent the weight regain or to further potentiate weight loss. This article provides an overview of the use of anti-obesity medications as an augmentation to bariatric surgery for obesity. Despite relatively limited published data, it can be concluded that anti-obesity medication can serve as an effective adjunct therapy to bariatric surgery to help boost post-bariatric weight loss or prevent weight regain.

摘要

全球肥胖症大流行是全球最重要的健康威胁之一,因为它与许多合并症密切相关,如 2 型糖尿病、动脉高血压、血脂异常、心力衰竭、癌症等。肥胖症及其合并症导致心血管并发症、心力衰竭的发生率更高,心血管疾病和总体死亡率也更高。目前,减重手术是肥胖症最有效的治疗方法,可使大多数患者显著减重。从长期来看,相当一部分减重手术后的患者会逐渐体重反弹,在某些患者中,体重可能会恢复到术前水平。因此,一些减重手术后的患者可能需要进行抗肥胖药物治疗,以防止体重反弹或进一步增强减重效果。本文概述了抗肥胖药物作为减重手术治疗肥胖症的辅助手段的应用。尽管相关的已发表数据相对有限,但可以得出结论,抗肥胖药物可作为减重手术的有效辅助治疗方法,帮助促进术后体重减轻或防止体重反弹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f4/11343883/6e937be7303e/40265_2024_2029_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f4/11343883/7d20ce8b173a/40265_2024_2029_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f4/11343883/6e937be7303e/40265_2024_2029_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f4/11343883/7d20ce8b173a/40265_2024_2029_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f4/11343883/6e937be7303e/40265_2024_2029_Fig2_HTML.jpg

相似文献

[1]
Pharmacotherapy as an Augmentation to Bariatric Surgery for Obesity.

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[3]
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[4]
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引用本文的文献

[1]
Pharmacotherapy and metabolic/bariatric surgery: either or both?

Int J Obes (Lond). 2025-8-30

[2]
Spending, utilization, and price trends for anti-obesity medications in U.S. Medicaid programs: an empirical analysis from 1999 to 2023.

Front Med (Lausanne). 2025-7-16

[3]
Pharmacologic Disruption: How Emerging Weight Loss Therapies Are Challenging Bariatric Surgery Guidelines.

Medicina (Kaunas). 2025-7-18

[4]
Weight Reduction with GLP-1 Agonists and Paths for Discontinuation While Maintaining Weight Loss.

Biomolecules. 2025-3-13

[5]
Prognosticating post-bariatric surgery outcomes and management of postoperative recurrent weight gain and diabetes recurrence.

Front Nutr. 2024-12-23

[6]
Comparative effectiveness of school-based obesity prevention programs for children and adolescents: a systematic review and network meta-analysis.

Front Public Health. 2024-12-17

[7]
Mechanisms by Which Pharmacotherapy May Impact Cancer Risk among Individuals with Overweight and Obesity.

Cancers (Basel). 2024-9-26

本文引用的文献

[1]
Post metabolic bariatric surgery weight regain: the importance of GLP-1 levels.

Int J Obes (Lond). 2025-3

[2]
FDA Green-Lights Tirzepatide, Marketed as Zepbound, for Chronic Weight Management.

JAMA. 2023-12-12

[3]
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N Engl J Med. 2023-12-14

[4]
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Lancet. 2023-8-19

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Surg Endosc. 2023-8

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