Shikora Scott A, Kim Julie J, Tarnoff Michael E
Obesity Consult Center, Center for Minimally Invasive Obesity Surgery, Tufts-New England Medical Center, Boston, MA 02111, USA.
Nutr Clin Pract. 2007 Feb;22(1):29-40. doi: 10.1177/011542650702200129.
At present, bariatric surgery is the only treatment that can achieve meaningful and sustainable weight loss for the millions of morbidly obese individuals. The current popular operative procedures (the Roux-en-y gastric bypass, laparoscopic adjustable gastric band, and the biliopancreatic diversion with or without duodenal switch) are all relatively safe and effective. However, all of these procedures, to variable degrees, alter the anatomy and physiology of the gastrointestinal tract. This fact, along with postoperative dietary changes, makes these patients vulnerable to a multitude of potential complications. As more and more patients undergo these procedures, an increasing number of clinicians will be asked to care for them. It is therefore imperative that all clinicians have a general understanding of the operative procedures and the potential problems these patients may develop. This article will describe these operative procedures and will discuss the more common consequences.
目前，减肥手术是唯一能够为数百万病态肥胖个体实现显著且可持续体重减轻的治疗方法。当前流行的手术方式（ Roux-en-y胃旁路术、腹腔镜可调节胃束带术以及带或不带十二指肠转位的胆胰转流术）都相对安全有效。然而，所有这些手术方式都会在不同程度上改变胃肠道的解剖结构和生理功能。这一事实，再加上术后饮食的改变，使得这些患者易出现多种潜在并发症。随着越来越多的患者接受这些手术，将会有越来越多的临床医生被要求对他们进行护理。因此，所有临床医生必须对手术方式以及这些患者可能出现的潜在问题有一个大致的了解。本文将描述这些手术方式，并讨论较为常见的后果。
