Department of Gastroenterology and Hepatology, Indiana University Health, Indiana University School of Medicine, 550 University Boulevard, Indianapolis, IN 46202, USA.
Department of Gastroenterology and Hepatology, University of Alabama, Heersink School of Medicine, 1720 university Boulevard, Birmingham, AL 35294, USA.
Gastrointest Endosc Clin N Am. 2024 Oct;34(4):627-638. doi: 10.1016/j.giec.2024.04.002. Epub 2024 May 4.
Obesity has extensive health repercussions, and bariatric surgery remains a viable solution to address this issue. This article focuses on the preoperative and postoperative management strategies required to achieve successful and durable outcomes in bariatric surgery patients. Preoperative assessment includes appropriate patient selection, psychosocial evaluation, nutritional analysis, and behavioral/medical counseling. Postoperative assessment includes immediate perioperative care, diet transition, nutritional needs management, and handling of complications associated with bariatric surgery.
肥胖对健康有广泛的影响，减重手术仍然是解决这个问题的可行方法。本文重点介绍了减重手术患者获得成功和持久效果所需的术前和术后管理策略。术前评估包括适当的患者选择、心理社会评估、营养分析和行为/医疗咨询。术后评估包括围手术期的即时护理、饮食过渡、营养需求管理以及处理与减重手术相关的并发症。
