Practical recommendations of the obesity management task force of the European Association for the Study of Obesity for the post-bariatric surgery medical management (2017) in clinical use

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Abstract

Obesity is a common disease; it significantly increases the risk of death because of cardiovascular diseases. Bariatric surgery is an effective method of treatment, which leads to anatomical changes in the gastrointestinal tract and affects gastrointestinal hormones profile. After bariatric surgery, patients deal with new physiological conditions. Patients need to adapt to their new look and fit, to change the eating behavior. It is required to identify and eliminate complications arising from the patient's low commitment to a new lifestyle. It is important to compensate the vitamins and minerals deficiency. Adjusting of drugs dose in patients with comorbidities is necessary. Pregnant women after bariatric surgery require special attention during pregnancy. In addition, weight regain may appear, which should be prevented, and if necessary, eliminated. Thus, patients undergoing bariatric intervention require a multidisciplinary approach in the postoperative period. Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management (2017) in highlight these issues in detail. This article presents the translation of original recommendations by authors of Pavlov First State Medical University of Saint Petersburg. Results of Recommendations applying to clinical use on obese patients after various types of bariatric surgery have published down. Key words: obesity, bariatric surgery, weight regain. For citation: Volkova A.R., Semikova G.V., Dygun O.D. et al. Practical recommendations of the obesity management task force of the European Association for the Study of Obesity for the post-bariatric surgery medical management (2017) in clinical use. Consilium Medicum. 2020; 22 (4): 36-42. DOI: 10.26442/20751753.2020.4.200114

About the authors

Anna R. Volkova

Pavlov First Saint Petersburg State Medical University

Email: volkovaa@mail.ru
д-р мед. наук, проф. Saint Petersburg, Russia

Galina V. Semikova

Pavlov First Saint Petersburg State Medical University

ассистент каф. терапии факультетской Saint Petersburg, Russia

Olga D. Dygun

Pavlov First Saint Petersburg State Medical University

канд. мед. наук, ассистент каф. терапии факультетской Saint Petersburg, Russia

Mikhail B. Fishman

Pavlov First Saint Petersburg State Medical University

д-р мед. наук, проф. Saint Petersburg, Russia

Valentina S. Mozgunova

Pavlov First Saint Petersburg State Medical University

ординатор 2-го года Saint Petersburg, Russia

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