Summers G, Hocking M P
University of Florida College of Medicine, Gainesville.
J Fla Med Assoc. 1992 Jun;79(6):396-9.
Morbid obesity is a life-threatening disorder associated with medical and psychological complications. The failure of medical therapy has led to the development of a new surgical discipline called bariatric surgery, which has evolved over the past three decades. Initial techniques created malabsorption to produce weight loss. Due to complications, later techniques limited oral intake to produce weight loss. Currently, most bariatric surgeons perform either gastric bypass or gastric partition (vertical banded gastroplasty or vertical ring gastroplasty). However, other techniques are also being evaluated, including a modified intestinal bypass, gastric banding, and a new gastric balloon. Only with continued follow-up will we determine the ultimate risk/benefit ratio of these procedures and their place in the management of the morbidly obese. In the setting of an experienced multidisciplinary team committed to long-term follow-up, surgical therapy can be considered.
病态肥胖是一种与医学和心理并发症相关的危及生命的疾病。药物治疗的失败促使了一种名为减重手术的新外科领域的发展，该领域在过去三十年中不断演变。最初的技术通过造成吸收不良来实现体重减轻。由于并发症的出现，后来的技术通过限制口服摄入量来减轻体重。目前，大多数减重外科医生施行胃旁路手术或胃分隔术（垂直束带胃成形术或垂直环形胃成形术）。然而，其他技术也在评估中，包括改良的肠道旁路手术、胃束带术和一种新型胃气球。只有通过持续随访，我们才能确定这些手术的最终风险/收益比及其在病态肥胖管理中的地位。在有经验丰富的多学科团队致力于长期随访的情况下，可以考虑手术治疗。
