治疗肥胖症的手术策略概述

Aleksandra Jędrasek, Marta Barg, Julia Biały-Karbowniczek, Agata Bartela, Klaudia Wojtyła
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摘要

导言:过去几年,肥胖症已成为一个核心问题,全球有超过 26 亿人超重或肥胖。尽管肥胖症的相关风险及其日益凸显的重要性已广为人知,但人们对其筛查和治疗的关注效果仍不尽如人意。本文探讨了多种治疗策略,并评估了它们在预防肥胖相关并发症方面的效果。 综述方法:我们以文献综述的形式进行研究,通过 PubMed 和 Embase 收集数据。 知识现状:体育锻炼、行为疗法和适当的营养仍然是肥胖症治疗的基础。然而,在很多情况下,这些方法都是不够的。最近,减肥手术得到了蓬勃发展,与改变生活方式相比,减肥手术的长期效果更好,生活质量更高。袖带胃切除术和可调节胃束带术等新手术方法已被证明是最有效的方法之一,但它们也存在并发症的风险。 结论:越来越多的治疗方案让医生可以根据患者的风险因素、整体健康状况和依从性选择更有针对性的策略。外科手术,尤其是腹腔镜技术的改进为病态肥胖症患者带来了新的可能。
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An Overview of Surgical Strategies for Treating Obesity
Introduction: In the last few years, obesity has become a central issue with more than 2.6 billion people worldwide being overweight or obese. While the risks associated with this condition and its rising significance are widely known, the effect of this attention on screening and treatment remains unsatisfying. This paper explores multiple treatment strategies and evaluates their effectiveness in preventing obesity-related complications.   Review methods: We conducted our study as a literature review, with data being gathered via PubMed and Embase.  The state of knowledge: Physical activity, behavioral therapy, and proper nutrition remain the foundation for obesity therapy. However, in many cases these approaches are insufficient. Recently, there has been a dynamic development of bariatric surgery, which in comparison to lifestyle modification, results in better long-term effects and improved quality of life. New surgery procedures, such as sleeve gastrectomy and adjustable gastric banding, have shown to be one of the most effective, but they carry a risk of complications.  Conclusions: Growing treatment options allow doctors to choose more targeted strategies, based on the patient’s risk factors, overall health status, and compliance. Improvements in surgery, especially laparoscopic techniques have opened new possibilities for patients with morbid obesity.
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