Hanusch-Enserer Ursula, Enserer Christian, Rosen Harald R, Prager Rudolf
III. Medizinische Abteilung mit Stoffwechselerkrankungen und Nephrologie, Krankenhaus der Stadt Wien Lainz, Wien, Osterreich.
Acta Med Austriaca. 2004;31(4):125-9.
Morbid obesity is defined as obesity with body mass index (BMI) > or = 40 kg/m2 with secondary serious diseases. Conservative treatment generally fails to produce long-term weight loss in these patients, since several bariatric surgical techniques have been developed which are based on gastric restriction and/or gastric malabsorption resulting in permanent weight loss over years. Preoperative evaluation might detect suitable patients and reduce both non-surgical and surgical complications. Postoperative follow-up in a multidisciplinary program, including specialists in various fields of medicine, e.g. surgery, internal medicine, radiology, paediatrics and nutritional surveillance are mandatory in the treatment of patients after obesity surgery. Bariatric surgery results in a major weight loss, with amelioration of most obesity-associated conditions. The most serious side effect of some surgical procedere is malnutrition.
病态肥胖被定义为体重指数（BMI）≥40kg/m²且伴有继发性严重疾病的肥胖。保守治疗通常无法使这些患者长期减重，因此已开发出多种减肥手术技术，这些技术基于胃限制和/或胃吸收不良，可导致多年的永久性体重减轻。术前评估可能会发现合适的患者，并减少非手术和手术并发症。在多学科项目中进行术后随访，包括外科、内科、放射科、儿科等各个医学领域的专家以及营养监测，对于肥胖手术患者的治疗是必不可少的。减肥手术可导致显著的体重减轻，并改善大多数与肥胖相关的状况。某些手术程序最严重的副作用是营养不良。
