Wylezoł M, Pardela M
II Katedry i Kliniki Chirurgii Ogólnej i Naczyń Slaskiej Akademii Medycznej w Zabrzu.
Pol Merkur Lekarski. 1998 Aug;5(26):95-7.
Surgical treatment of morbid obesity appears to be more cost-effective than medical treatment. Moreover many medical treatments fail in the long term especially in cases with BMI > 40 kg/m2. That's why surgical treatment was introduced. Two kinds of procedures, gastric restrictive and gastric bypass, have resulted from these years of clinical investigation. Mentioned above surgical treatment produce efficient weight loss during several months after operations. Weight reduction surgery has been reported to improve several comorbid conditions. Minimal invasive procedures are waiting for randomised studies.
病态肥胖的手术治疗似乎比药物治疗更具成本效益。此外，许多药物治疗从长期来看效果不佳，尤其是对于BMI>40kg/m²的患者。这就是引入手术治疗的原因。经过多年的临床研究，出现了两种手术方式，即胃限制性手术和胃旁路手术。上述手术治疗在术后数月内可有效减轻体重。据报道，减重手术可改善多种合并症。微创程序尚有待随机研究。
