Lee Meng-G Martin, Jones Daniel B
Beth Israel Deaconess Medical Center, Department of Surgery, 330 Brookline Avenue, Boston, MA 02215, USA.
Expert Rev Med Devices. 2005 Sep;2(5):599-603. doi: 10.1586/17434440.2.5.599.
The problem of obesity has reached epidemic proportions in the USA. More than 50% of adults are obese or overweight. The only therapeutic intervention that provides effective long-term weight loss for the severely obese is bariatric surgery. Roux-en-Y gastric bypass is the most commonly performed bariatric operation in the USA. Anastomotic leaks can cause life-threatening sepsis in the immediate postoperative period or delayed presentations with fistulas. Fibrin sealant and bovine pericardium have been used to reinforce the anastomosis in order to decrease the rate of this dreaded complication. This review will summarize current literature on the subject.
肥胖问题在美国已达到流行程度。超过50%的成年人肥胖或超重。对于严重肥胖者而言，唯一能实现长期有效减重的治疗干预手段是减肥手术。胃旁路手术是美国最常施行的减肥手术。吻合口漏可在术后即刻导致危及生命的脓毒症，或出现延迟性瘘管表现。纤维蛋白密封剂和牛心包已被用于加强吻合，以降低这种可怕并发症的发生率。本综述将总结该主题的当前文献。
