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减重手术中的长期随访是什么?一项提议。

What Is Long-Term Follow-Up in Bariatric Surgery? A Proposal.

作者信息

Csendes Attila, Cruz Enrique

机构信息

Hospital Clínico de La Universidad de Chile, Santiago, Chile.

University of Chile, Santiago, Chile.

出版信息

Obes Surg. 2025 Mar;35(3):671-673. doi: 10.1007/s11695-025-07729-4. Epub 2025 Feb 6.

Abstract

Gastric bypass surgery is a highly effective treatment for morbid obesity, offering significant and sustained weight loss and improvement in comorbid conditions. However, the long-term success of this intervention is closely tied to robust postoperative follow-up care. Currently, there is a lack of consensus on the definitions of medium- and long-term follow-up, complicating the comparison of outcomes across studies. This inconsistency, coupled with challenges in patient adherence and healthcare infrastructure, emphasizes the need for better-defined follow-up periods and increased monitoring over time. This commentary addresses the critical need for standardized definitions and practices in medium- and long-term follow-up to optimize patient outcomes.

摘要

胃旁路手术是治疗病态肥胖的一种高效疗法,能实现显著且持续的体重减轻,并改善并存疾病。然而,这种干预措施的长期成功与强有力的术后随访护理密切相关。目前,关于中长期随访的定义尚未达成共识,这使得跨研究比较结果变得复杂。这种不一致性,再加上患者依从性和医疗保健基础设施方面的挑战,凸显了需要更明确的随访期并加强长期监测。本评论阐述了在中长期随访中制定标准化定义和做法以优化患者治疗效果的迫切需求。

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