Bariatric and Metabolic Surgery in the Adult Population

IF 6.9 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Mayo Clinic proceedings Pub Date : 2024-10-01 DOI:10.1016/j.mayocp.2024.05.022

Betemariam Sharew BA , Nandan Kodur BS , Ricard Corcelles MD , Yael Mauer MD, MPH

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引用次数: 0

Abstract

Obesity is a significant public health concern worldwide and a leading cause of preventable death and morbidity, but the management of this condition remains a challenge. Metabolic and bariatric surgery (MBS) is safe and currently has the most consistent and robust data among anti-obesity interventions for ameliorating obesity and its associated complications. Despite the benefits and safety of MBS, it is significantly underused. There are several proposed reasons for this underuse, one of which is a knowledge gap among primary care physicians, contributing to low referral rates. The purpose of this review is to summarize key points of the 2022 American Society for Metabolic and Bariatric Surgery/International Federation for the Surgery of Obesity and Metabolic Disorders guidelines regarding MBS, as well as to discuss indications, benefits and risks, most common types of MBS, and barriers to access, thereby increasing awareness of MBS among primary care physicians. This narrative review was based on articles found by searching PubMed from its inception until April 2024 for the terms sleeve gastrectomy, gastric bypass, and metabolic and bariatric surgery. Our search was confined to English-language publications, with emphasis placed on evidence derived from systematic literature reviews, meta-analyses, and randomized clinical trials whenever available.

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成人减肥和代谢手术：初级保健提供者须知。

肥胖症是全球重大的公共卫生问题，也是可预防的死亡和发病的主要原因，但肥胖症的管理仍然是一项挑战。代谢和减肥手术（MBS）是安全的，目前在改善肥胖及其相关并发症的抗肥胖干预措施中，它拥有最一致、最可靠的数据。尽管代谢与减重手术具有诸多益处和安全性，但其使用率却非常低。造成使用不足的原因有多种，其中之一是初级保健医生对其缺乏了解，导致转诊率低。本综述旨在总结 2022 年美国代谢与减重外科协会/国际肥胖与代谢紊乱外科联合会关于 MBS 的指南要点，并讨论适应症、益处和风险、最常见的 MBS 类型以及使用障碍，从而提高初级保健医生对 MBS 的认识。本叙述性综述基于从 PubMed 开始到 2024 年 4 月搜索袖带胃切除术、胃旁路术以及代谢和减肥手术等词条所找到的文章。我们的搜索仅限于英文出版物，重点是系统文献综述、荟萃分析和随机临床试验中获得的证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mayo Clinic proceedings 医学-医学：内科

CiteScore

16.80

自引率

1.10%

发文量

383

审稿时长

37 days

期刊介绍： Mayo Clinic Proceedings is a premier peer-reviewed clinical journal in general medicine. Sponsored by Mayo Clinic, it is one of the most widely read and highly cited scientific publications for physicians. Since 1926, Mayo Clinic Proceedings has continuously published articles that focus on clinical medicine and support the professional and educational needs of its readers. The journal welcomes submissions from authors worldwide and includes Nobel-prize-winning research in its content. With an Impact Factor of 8.9, Mayo Clinic Proceedings is ranked #20 out of 167 journals in the Medicine, General and Internal category, placing it in the top 12% of these journals. It invites manuscripts on clinical and laboratory medicine, health care policy and economics, medical education and ethics, and related topics.