Tanyi Miklós, Kanyáry Zsolt, Juhász Balázs, Damjanovich László, Lukács Géza
Sebészeti Klinika.
Magy Seb. 2006 Oct;59(5):350-61.
Morbid obesity is a multicausal disease with great importance because of the life threatening associated co-morbidities. Its treatment has many different aspects and needs multidisciplinary collaborations. The most powerful way of treatment is the surgical intervention which demands thorough preoperative investigations and patient selection. The bariatric surgical procedures went through significant development and many of them have only historical importance. Different interventions can be classified to malabsorptive, restrictive and combined subgroups. In Europe the laparoscopic adjustable gastric banding seems to be the most widely applied procedure which is purely a restrictive intervention. Apart from the low rate of complications it has many advantages which were not characteristic of the formerly used procedures. These include: minimal invasiveness, reversibility, preservation of the gastrointestinal anatomy, adjustability for demands of care.
病态肥胖是一种多病因疾病，由于其相关的危及生命的合并症而具有重要意义。其治疗涉及多个不同方面，需要多学科协作。最有效的治疗方法是手术干预，这需要进行全面的术前检查和患者选择。减肥手术程序经历了重大发展，其中许多仅具有历史意义。不同的干预措施可分为吸收不良型、限制型和联合型亚组。在欧洲，腹腔镜可调节胃束带术似乎是应用最广泛的手术，它纯粹是一种限制型干预措施。除了并发症发生率低之外，它还有许多以前使用的手术所没有的优点。这些优点包括：微创性、可逆性、保留胃肠道解剖结构、可根据护理需求进行调节。
