Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Obesity Facts - Tập 10 Số 6 - Trang 597-632 - 2017
Luca Busetto1, Dror Dicker2, Carmil Azran3, Rachel L. Batterham4,5,6, Nathalie Farpour‐Lambert7, Martin Fried8, Jøran Hjelmesæth9, Johann F. Kinzl10, Deborah R. Leitner11, Janine Makaronidis4, Karin Schindler12, Hermann Toplak11, Volkan Yumuk13
1Department of Internal Medicine, University of Padova, Padova, Italy
2Department of Internal Medicine D and Obesity Clinic, Hasharon Hospital, Rabin Medical Center, Petah Tikva, Sackler School of Medicine Tel Aviv University, Tel Aviv, Israel
3Clinical Pharmacy, Herzliya Medical Center, Herzliya, Israel
4Centre for Obesity Research, Rayne Institute, Department of Medicine, University College London, London, UK
5National Institute of Health Research, University College London Hospital Biomedical Research Centre, London, UK
6University College London Hospital Bariatric Centre for Weight Management and Metabolic Surgery, University College London Hospital, London, UK
7Obesity Prevention and Care Program Contrepoids, Service of Therapeutic Education for Chronic Diseases, Department of Community Medicine, Primary Care and Emergency, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland
8OB Klinika, Centre for Treatment of Obesity and Metabolic Disorders, 1st Faculty of Medicine, Charles University, Prague, Czech Republic
9Morbid Obesity Centre, Vestfold Hospital Trust and Department of Endocrinology, Morbid Obesity and Preventive Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
10Department of Psychiatry and Psychotherapy II, Medical University Innsbruck, Innsbruck, Austria
11Department of Medicine, Medical University Graz, Graz, Austria
12Department of Medicine III, Medical University of Vienna, Vienna, Austria
13Division of Endocrinology, Metabolism and Diabetes, Department of Medicine, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey

Tóm tắt

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.

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Tài liệu tham khảo

10.1111/joim.12012

10.1159/000442721

10.1007/s11695-015-1657-z

10.4158/EP.14.S1.1

10.1016/j.soard.2008.03.002

10.1002/oby.20461

10.1016/j.soard.2012.02.010

10.1111/j.1467-789X.2010.00731.x

10.1007/s11695-008-9721-6

10.1016/S1091-255X(01)00022-1

10.1381/096089204322857528

10.1016/S0039-6109(05)70190-0

10.1007/s11695-008-9456-4

10.1007/s11695-012-0711-3

10.1007/s11695-012-0856-0

10.1007/s00464-012-2629-1

10.1038/nrgastro.2009.148

10.1007/s10620-005-3046-2

10.1007/s11695-008-9756-8

10.1053/j.gastro.2014.01.038

10.1210/jc.2016-1143

10.1177/0115426505020005517

10.1016/j.soard.2011.08.008

10.1016/j.soard.2016.12.018

10.1007/s11695-012-0609-0

10.1016/j.gassur.2003.09.020

10.1381/096089203322618722

10.1097/01.sla.0000216773.47825.c1

10.1007/s11695-014-1492-7

10.1038/sj.ijo.0803040

10.1381/096089204772787437

10.1381/096089200321643610

10.1007/s11695-007-9114-2

10.1381/096089293765559548

10.1016/j.nut.2009.11.017

10.1007/s10534-012-9524-z

10.1001/jama.292.14.1724

10.2337/dc10-1761

10.1056/NEJMoa066603

10.1007/s11695-015-2025-8

10.1016/j.soard.2011.08.002

10.1007/s11892-016-0718-6

10.1007/s11695-015-1860-y

10.2337/dc09-9036

10.1001/jama.2016.19635

10.1016/j.jacc.2016.11.069

10.1111/nyas.12355

10.1186/1475-2840-10-84

10.5664/jcsm.3864

10.1007/s00405-012-1948-0

10.1007/s00464-016-4963-1

10.1016/j.sleep.2016.02.012

10.5664/jcsm.5008

10.1007/s11695-014-1533-2

10.1016/j.soard.2016.03.014

10.1111/cob.12145

10.1161/CIRCULATIONAHA.109.192644

10.1186/s40608-016-0133-1

10.1093/eurheartj/ehw272

10.4158/EP161365.GL

10.1016/j.jacl.2015.12.002

10.1016/j.soard.2016.01.007

10.1016/j.metabol.2009.10.004

10.1016/j.orcp.2016.12.004

10.1016/j.amjmed.2016.02.004

10.1007/s11695-015-1829-x

10.1017/S0007114512004631

10.1001/jamasurg.2016.2798

10.1136/bmj.f5934

10.1056/NEJMoa1200225

10.1007/s11695-013-0882-6

10.1007/s00464-012-2716-3

10.1097/HJH.0b013e3283537347

10.1111/obr.12434

10.1007/s11695-011-0455-5

10.1111/j.1467-789X.2009.00614.x

10.2337/dc10-2140

10.1371/journal.pone.0049696

10.1007/s00464-008-9996-7

10.1007/s11695-007-9335-4

10.1381/096089203765887697

10.1111/obr.12288

10.1111/ppe.12248

10.1016/j.bpobgyn.2014.10.014

10.1016/j.fertnstert.2008.08.025

10.1210/jc.2012-2205

10.1016/j.soard.2011.09.022

10.1381/096089206778870148

10.1016/j.soard.2011.09.021

10.1001/jama.2008.641

10.1093/humupd/dmn057

10.1001/jamasurg.2016.3621

10.1007/s11695-014-1387-7

10.1210/jc.2009-2128

10.1097/AOG.0b013e3181ac0544

10.1016/j.bpobgyn.2014.04.015

10.1053/j.semperi.2011.05.022

10.1515/jpm-2012-0237

10.1055/s-0031-1293204

10.1016/j.preghy.2014.03.030

10.1093/qjmed/hct081

10.1016/j.ajog.2013.02.046

10.1136/bmj.f6460

10.1056/NEJMoa1405789

10.1097/AOG.0b013e318239060e

10.1016/j.soard.2007.10.008

10.1007/s00404-011-2134-0

10.1016/j.ajog.2015.11.017

10.1016/j.soard.2011.06.006

10.1016/j.soard.2014.02.011

10.1007/s11695-012-0858-y

10.1007/s11695-009-0068-4

10.1016/j.ijgo.2015.03.022

10.1007/s11695-007-9162-7

10.1136/jfprhc-2014-100959

10.15585/mmwr.rr6503a1

10.1016/j.contraception.2011.03.015

10.1089/jwh.2010.2462

10.1016/j.diabet.2006.11.004

10.1007/s00431-006-0120-5

10.1136/bmj.j533

10.1097/AOG.0000000000000380

10.1007/s11695-014-1232-z

10.1002/14651858.CD010048.pub2

10.1016/j.ijsu.2014.05.027

10.1038/jp.2009.16

10.1007/s40211-012-0036-4

10.1016/j.soard.2011.10.007

10.1016/j.amjmed.2010.06.016

10.1027/0227-5910/a000115

10.1016/j.soard.2005.04.003

10.1002/oby.20066

10.1016/j.soard.2013.12.014

10.1001/jama.2012.6147

10.1381/0960892041975532

10.1381/096089204322917882

10.1007/s13679-015-0146-y

10.1016/j.cgh.2010.11.004

10.1159/000355480

10.1159/000445192

10.1159/000452249

10.1007/s11695-011-0441-y

10.1016/j.jada.2009.12.021

10.1016/S1262-3636(09)73464-0

10.1159/000331236

10.1159/000430801

10.1016/j.soard.2016.10.018

10.1007/s11695-015-1979-x

10.1590/S0100-69912013000300005

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Obesity Facts

Tập 10 Số 6

597-632

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