Role of the gastroenterologist in the comprehensive management of people living with obesity. SEPD Position Paper.

IF 4 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Javier Crespo, Conrado M Fernández Rodríguez, María Dolores Martín Arranz, Luis Téllez, Federico Argüelles-Arias, Aitor Orive, Eduard Espinet
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Abstract

Obesity represents the most prevalent chronic metabolic disease and one of the greatest healthcare and social challenges of our time. Its close association with multiple digestive disorders-including metabolic dysfunction-associated steatotic liver disease (MASLD), various digestive cancers, inflammatory bowel disease, and gastroesophageal reflux disease-positions the gastroenterologist as a key actor in its detection, stratification, and comprehensive management. The SEPD position statement underscores the need to move beyond a complication-centered approach and to establish the gastroenterology consultation as a privileged entry point for the care of individuals living with obesity. SEPD advocates for a digestive-centered framework that integrates prevention, advanced diagnostics, pharmacological therapies, endoscopy, and surgery within a continuum of care led by gastroenterologists. Distinctively, the position statement incorporates metabolic endoscopy as a minimally invasive and cost-effective alternative, serving as a bridge between pharmacological treatment and surgery-an area in which Spanish gastroenterologists have developed recognized expertise and international leadership. It also promotes a stigma-free approach, calling for respectful and equitable language as part of the society's explicit ethical commitment. Furthermore, SEPD emphasizes the importance of real-world registries focused on digestive outcomes, fostering collaborative research and the generation of evidence applicable to both clinical practice and health policy. Taken together, this document reaffirms SEPD's clinical, scientific, and social commitment in the fight against obesity, advancing an innovative, person-centered, interdisciplinary, and humanistic approach aimed at transforming healthcare delivery and decisively contributing to the improvement of digestive and overall population health.

胃肠病学家在肥胖症患者综合管理中的作用。SEPD立场文件。
肥胖是最普遍的慢性代谢疾病,也是我们这个时代最大的医疗保健和社会挑战之一。它与多种消化系统疾病密切相关,包括代谢功能障碍相关的脂肪变性肝病(MASLD)、各种消化系统癌症、炎症性肠病和胃食管反流病,因此胃肠病学家在其检测、分层和综合管理方面发挥着关键作用。SEPD立场声明强调需要超越以并发症为中心的方法,并将胃肠病学咨询建立为肥胖症患者护理的特权切入点。SEPD倡导以消化为中心的框架,将预防、先进诊断、药物治疗、内窥镜检查和外科手术整合在胃肠病学家领导的连续护理中。独特的是,立场声明结合代谢内窥镜作为微创和成本效益的替代方案,作为药物治疗和手术之间的桥梁-西班牙胃肠病学家已经发展出公认的专业知识和国际领导地位的领域。它还提倡一种无耻辱感的方法,呼吁将尊重和公平的语言作为社会明确的道德承诺的一部分。此外,SEPD强调了真实世界登记的重要性,重点关注消化结果,促进合作研究和产生适用于临床实践和卫生政策的证据。总之,该文件重申了SEPD在对抗肥胖方面的临床,科学和社会承诺,推进创新,以人为本,跨学科和人文主义的方法,旨在改变医疗保健服务,并为改善消化系统和整体人口健康做出决定性贡献。
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
CiteScore
2.00
自引率
25.00%
发文量
400
审稿时长
6-12 weeks
期刊介绍: La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.
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