Ukleja Andrew, Stone Ronald L
Department of Gastroenterology, Cleveland Clinic Florida, Weston, FL 33331, USA.
J Clin Gastroenterol. 2004 Apr;38(4):312-21. doi: 10.1097/00004836-200404000-00004.
Morbid obesity is a serious disease resulting in considerable morbidity. Bariatric surgery is an important treatment modality of morbid obesity. It appears to be safe and effective in reduction of excess weight in carefully selected patients. However, it carries a risk of many short- and long-term complications, some of them unique to bariatric surgery. Knowledge of possible postoperative complications and their management will allow the achievement of the best results. Despite many types of bariatric procedures developed, only a few are currently performed. Since the number of bariatric procedures performed annually increases, primary care physicians and gastroenterologists will be increasingly challenged by post-bariatric surgery patients. Hence, better understanding of the anatomy and adaptive changes in bariatric patients allows for a more efficient evaluation and management of post-bariatric surgery problems. This article reviews common complications in post-bariatric surgery patients and provides guidelines for their evaluation and management.
病态肥胖是一种严重疾病，会导致相当高的发病率。减重手术是病态肥胖的一种重要治疗方式。在精心挑选的患者中，它在减轻超重方面似乎是安全有效的。然而，它存在许多短期和长期并发症的风险，其中一些是减重手术所特有的。了解可能出现的术后并发症及其处理方法将有助于取得最佳效果。尽管已经开发出多种减重手术方式，但目前只有少数几种在实施。由于每年进行的减重手术数量不断增加，初级保健医生和胃肠病学家将越来越多地面临减重手术后患者带来的挑战。因此，更好地了解减重手术患者的解剖结构和适应性变化，有助于更有效地评估和处理减重手术后的问题。本文综述了减重手术后患者的常见并发症，并提供了评估和处理这些并发症的指南。
