期刊
OBESITY FACTS
卷 10, 期 6, 页码 597-632出版社
KARGER
DOI: 10.1159/000481825
关键词
European guidelines; Obesity management; Bariatric surgery; Nutrition; Diabetes mellitus; Sleep apnoea; Hypertension; Pregnancy; Psychological aspects; Weight maintenance
资金
- Department of Health [RP-2015-06-005] Funding Source: Medline
- National Institute for Health Research [RP-2015-06-005] Funding Source: researchfish
- National Institutes of Health Research (NIHR) [RP-2015-06-005] Funding Source: National Institutes of Health Research (NIHR)
Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived from current evidences and existing guidelines. A short list of clinical practical recommendations is included for each item. It remains clear that referral to a bariatric multidisciplinary centre, preferably the one performing the original procedure, should be considered in case of more complex clinical situations. (c) 2017 The Author(s) Published by S. Karger GmbH, Freiburg
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