Veyrie Nicolas, Servajean Stéphane, Berger Nicolas, Loire Priscille, Basdevant Arnaud, Bouillot Jean-Luc
Unité de chirurgie viscérale et digestive, Hôtel-Dieu, Assistance Publique des Hôpitaux de Paris, Université Paris V René Descartes, Paris, France.
Gastroenterol Clin Biol. 2007 Apr;31(4):378-84. doi: 10.1016/s0399-8320(07)89396-1.
With the increased incidence of obesity in the developed countries, and the failure of medical treatments, bariatric surgery has increased rapidly. Although laparoscopic gastroplasty is the most popular bariatric intervention in France, the gold standard tends to be the laparoscopic gastric bypass. The severe weight loss caused by this type of procedure induces specific middle or long term complications such as biliary lithiasis. In this literature we describe different physiopathological mechanisms of lithiasis after gastric bypass by coeliosurgery or gastroplasty, their diagnosis, and preventive treatment to avoid these complications.
随着发达国家肥胖症发病率的上升以及医学治疗的失败，减肥手术迅速增加。尽管腹腔镜胃成形术在法国是最受欢迎的减肥干预措施，但金标准往往是腹腔镜胃旁路手术。这类手术导致的严重体重减轻会引发特定的中远期并发症，如胆石症。在本文献中，我们描述了通过腔镜手术或胃成形术进行胃旁路手术后结石形成的不同生理病理机制、其诊断方法以及避免这些并发症的预防性治疗。
