胃肠病治疗中肥胖症的实用治疗模式。
A working paradigm for the treatment of obesity in gastrointestinal practice.
作者信息
Acosta Andres, Camilleri Michael
机构信息
Clinical Enteric Neuroscience Translational and Epidemiological Research (C.E.N.T.E.R.), Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
出版信息
Tech Gastrointest Endosc. 2017 Jan;19(1):52-60. doi: 10.1016/j.tgie.2017.01.003. Epub 2017 Jan 25.
Obesity is a chronic, relapsing, multi-factorial disease characterized by abnormal or excessive adipose tissue accumulation that may impair health and increase disease risks. Despite the ever-increasing prevalence and economic and societal burden, the current approaches to treat obesity are not standardized or generally effective. In this manuscript, we describe a current working paradigm developed by a consensus approach for the multidisciplinary treatment of obesity in the GI practice. Obesity should be managed as a continuum of care focusing on weight loss, weight loss maintenance and prevention of weight regain. This approach needs to be disseminated throughout the health care system, coordinated by a multidisciplinary team and include gastroenterologists who are in a unique position to address obesity. Gastroenterologists are in the front line of managing the morbidity resulting from obesity, and have expertise in use of the essential tools to manage obesity: nutrition, pharmacology, endoscopy and surgery.
肥胖是一种慢性、复发性、多因素疾病，其特征是异常或过度的脂肪组织堆积，可能损害健康并增加疾病风险。尽管肥胖的患病率、经济和社会负担不断增加，但目前治疗肥胖的方法并不规范，也普遍效果不佳。在本手稿中，我们描述了一种通过共识方法制定的当前工作模式，用于胃肠病学实践中肥胖的多学科治疗。肥胖应作为一个连续的护理过程来管理，重点是体重减轻、体重减轻维持和预防体重反弹。这种方法需要在整个医疗保健系统中传播，由多学科团队协调，并包括处于独特地位来解决肥胖问题的胃肠病学家。胃肠病学家处于管理肥胖所致发病率的第一线，并且在使用管理肥胖的基本工具方面具有专业知识：营养、药理学、内窥镜检查和手术。
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