胃袖状切除术（SG）作为目前应用最广泛的减重代谢手术术式，有较高安全性和有效性，但术后复胖率高，对患者预后造成不良影响。目前针对SG术后复胖常用的干预方式为外科修正手术，包括再次SG手术、Roux-en-Y胃旁路术（RYGB）等术式，但外科手术创伤较大，并发症较多，且有再次复胖的风险。因而侵入性更小的非外科手术的方式在治疗SG术后复胖中具有独特优势，目前常用的方式有生活方式干预、心理干预、药物干预和内镜治疗，这些方法通过调节代谢适应、改变生活方式、改善内分泌水平和维持胃容积等多重机制发挥作用，为SG术后体重管理提供了更安全有效的选择。

Sleeve gastrectomy (SG), currently the most widely performed metabolic and bariatric surgery, demonstrates high safety and efficacy. However, the significant postoperative weight regain rate adversely affects patient prognosis. At present, the primary intervention for weight recurrence after SG is surgical revision, including procedures such as re-SG and Roux-en-Y gastric bypass (RYGB). Nevertheless, these surgical approaches are associated with considerable trauma, a higher incidence of complications, and the potential for recurrent weight regain. In contrast, minimally invasive non-surgical interventions offer distinct advantages in managing post-SG weight regain. Current non-surgical strategies include lifestyle modification, psychological intervention, pharmacotherapy, and endoscopic treatments. These methods exert their effects through multiple mechanisms, such as modulating metabolic adaptation, altering lifestyle behaviors, improving endocrine function, and maintaining gastric volume. Collectively, they provide safer and more effective options for postoperative weight management following SG.