病态肥胖患者减重的减肥手术的最新技术水平。

The state of the art in bariatric surgery for weight loss in the morbidly obese patient.

作者信息

Hamad Giselle G

机构信息

Department of Surgery, Magee-Womens Hospital, University of Pittsburgh Medical Center, 300 Halket Street, Pittsburgh, PA 15213, USA.

出版信息

Clin Plast Surg. 2004 Oct;31(4):591-600, vi. doi: 10.1016/j.cps.2004.03.016.

DOI:10.1016/j.cps.2004.03.016

PMID:15363912

Abstract

Bariatric surgery is a safe and effective method for achieving durable weight loss for patients with morbid obesity. Gastric restrictive procedures include vertical banded gastroplasty and gastric banding. Malabsorptive procedures include long-limb gastric bypass, biliopancreatic diversion, and biliopancreatic diversion with duodenal switch. The gastric bypass has features of both restriction and malabsorption. The laparoscopic approach to bariatric surgery has substantially improved postoperative recovery. Careful patient selection and preoperative work-up are extremely important. A number of medical comorbidities are improved after surgically-induced weight loss.

摘要

减重手术是一种为病态肥胖患者实现持久体重减轻的安全有效方法。胃限制性手术包括垂直捆绑胃成形术和胃束带术。吸收不良手术包括长肢胃旁路术、胆胰转流术以及胆胰转流十二指肠转位术。胃旁路术兼具限制和吸收不良的特点。减重手术的腹腔镜手术方法显著改善了术后恢复情况。仔细的患者选择和术前检查极为重要。手术引起体重减轻后，许多合并症会得到改善。