Budny Aleksandra, Janczy Agata, Szymanski Michal, Mika Adriana
Department of Pharmaceutical Biochemistry, Faculty of Pharmacy, Medical University of Gdansk, 80-211 Gdansk, Poland.
Division of Food Commodity Science, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland.
Nutrients. 2024 Dec 21;16(24):4399. doi: 10.3390/nu16244399.
: Bariatric surgery (BS) is considered one of the most effective interventions for the treatment of obesity. To achieve optimal long-term results, continuous follow-up (FU) within a multidisciplinary treatment team is essential to ensure patient compliance and maximize the benefits of BS. However, many patients find it difficult to maintain regular FU, which can affect the quality of care and lead to postoperative complications. This review aims to highlight factors that may hinder compliance with FU after BS, examine potential causes and consequences of inadequate FU, and identify strategies to improve patient participation in long-term FU. The literature search was conducted between October 2023 and June 2024 in Medline (PubMed) and the Cochrane Library datasets. Studies were selected for their relevance to adherence to FU, multidisciplinary approaches, and long-term bariatric outcomes. The pre- and postoperative period is critical for educating patients and healthcare team members about the importance of FU, addressing potential barriers (e.g., logistical, psychological, and social challenges), and highlighting the risk of relapse to obesity after surgery. The lack of a standardized FU protocol leads to differences between medical centers, further impacting patient adherence. Tailored and regularly updated strategies are essential to address individual patient needs and improve adherence to FU. Further research is needed to identify the specific factors that influence variability in long-term BS outcomes, highlighting the need for a patient-centered approach to obesity treatment.
减肥手术（BS）被认为是治疗肥胖症最有效的干预措施之一。为了取得最佳的长期效果，在多学科治疗团队中进行持续随访（FU）对于确保患者依从性和最大化减肥手术的益处至关重要。然而，许多患者发现难以维持定期随访，这可能会影响护理质量并导致术后并发症。本综述旨在强调可能阻碍减肥手术后随访依从性的因素，研究随访不足的潜在原因和后果，并确定提高患者参与长期随访的策略。文献检索于2023年10月至2024年6月在Medline（PubMed）和Cochrane图书馆数据集中进行。选择的研究与随访依从性、多学科方法和减肥手术的长期结果相关。术前和术后阶段对于教育患者和医疗团队成员了解随访的重要性、解决潜在障碍（如后勤、心理和社会挑战）以及强调术后肥胖复发的风险至关重要。缺乏标准化的随访方案导致医疗中心之间存在差异，进一步影响患者的依从性。量身定制并定期更新的策略对于满足个体患者需求和提高随访依从性至关重要。需要进一步研究以确定影响减肥手术长期结果变异性的具体因素，突出以患者为中心的肥胖症治疗方法的必要性。
