Kim Su-Mi
Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
J Metab Bariatr Surg. 2025 Aug;14(2):139-149. doi: 10.17476/jmbs.2025.14.2.139. Epub 2025 Aug 22.
Early postoperative weight loss (EWL) after bariatric surgery is a critical as a powerful predictor of long-term weight loss and metabolic outcomes. This narrative review shows evidence from recent studies examining the biological, behavioral, and clinical implications of EWL in patients undergoing various bariatric procedures. We discuss the hormonal and metabolic adaptations that occur in the first months after surgery, the psychosocial and behavioral factors influencing postoperative outcomes, and how early weight loss can guide individualized management. We further conduct the clinical pathways that integrate EWL monitoring into routine postoperative care. The goal is to encourage standardization in EWL measurement and its integration into multidisciplinary bariatric management to improve patient postoperative outcomes.
减重手术后的早期体重减轻（EWL）至关重要，因为它是长期体重减轻和代谢结果的有力预测指标。本叙述性综述展示了近期研究的证据，这些研究探讨了EWL在接受各种减重手术患者中的生物学、行为学和临床意义。我们讨论了术后头几个月发生的激素和代谢适应、影响术后结果的心理社会和行为因素，以及早期体重减轻如何指导个体化管理。我们还进一步探讨了将EWL监测纳入常规术后护理的临床路径。目标是鼓励EWL测量的标准化及其在多学科减重管理中的整合，以改善患者术后结果。
