Development and reflection of revisional bariatric surgery
10.3760/cma.j.cn115610-20220921-00542
- VernacularTitle:修正性减重手术的发展和反思
- Author:
Zhong CHENG
1
;
Yi CHEN
;
Youtong YAN
;
Rui ZHAO
;
Qianyi WAN
;
Guixiang ZHANG
;
Yang LI
;
Xiao DU
Author Information
1. 四川大学华西医院胃肠外科减重外科中心，成都 610041
- Keywords:
Obesity;
Bariatric surgery;
Revisional surgery;
Development;
Reflection
- From:
Chinese Journal of Digestive Surgery
2022;21(11):1428-1431
- CountryChina
- Language:Chinese
-
Abstract:
Obesity is one of the most challenging global public health issues, and more than half of adults in Chia are overweight or obese. Obesity has been shown to be a risk factor for type 2 diabetes, cardiovascular disease, colon cancer and other specific cancers, and has become a serious threat and even a danger to the health and quality of life of the nation. With the mature development of bariatric surgery in the last 20 years, it is now widely recognized for its effectiveness and safety in the treatment of obesity and related metabolic diseases, as well as improving patients′ life expectancy and quality of life. However, previous data from the literatures suggest that some patients require revisional surgery after bariatric surgery, with the incidence of revisional bariatric surgery as 5% to 50%. The main reasons for revisional bariatric surgery are poor post-operative outcomes, including the lack of significant weight loss, weight regain and no significant improvement or even recurrence of associated metabolic disease, and other reasons include the development of anaemia, malnutrition and long-term chronic pain. Currently, there is only the East Asian expert consensus on revised bariatric surgery proposed by Chinese Society for Metabolic & Bariatric Surgery in 2018. However, there are still no uniform standards regarding the indications, contraindications and surgical modalities of revisional bariatric surgery in clinical practice. The authors summarize the latest researches of revisional bariatric surgery, in order to provide the guidance value for clinical practice.
