Elte J W F, Castro Cabezas M, Vrijland W W, Ruseler C H, Groen M, Mannaerts G H H
Department of Internal Medicine, Center for Diabetes and Cardiovascular Risk Management, St. Franciscus Gasthuis, Rotterdam, The Netherlands.
Eur J Intern Med. 2008 Mar;19(2):92-8. doi: 10.1016/j.ejim.2007.06.015. Epub 2008 Jan 11.
Morbid obesity is a serious disease as it is accompanied by substantial co-morbidity and mortality. The prevalence is increasing to an alarming extent, in Europe as well as in the United States. In the past few decades, bariatric surgery has developed and gained importance. It currently represents the only long-lasting therapy for this group of patients, resulting in an efficient reduction in body weight and obesity-related medical conditions, mostly cardiovascular in nature. The importance of a standardized protocol, the use of selection criteria, and a multidisciplinary approach have been stressed but not yet described in detail. Therefore, in this article, the multidisciplinary approach and the treatment protocol that have been applied in our hospital for more than 20 years are set out in a detailed manner. The application of a strict protocol may help to select and follow-up motivated patients and to organize multidisciplinary research activities.
病态肥胖是一种严重疾病，因为它伴有大量的合并症和死亡率。在欧洲和美国，其患病率正以惊人的速度上升。在过去几十年中，减肥手术得到了发展并变得重要起来。它目前是这类患者唯一的长期治疗方法，能有效减轻体重并改善与肥胖相关的病症，其中大多数本质上是心血管方面的。标准化方案、选择标准的使用以及多学科方法的重要性已得到强调，但尚未详细描述。因此，在本文中，将详细阐述我们医院应用了20多年的多学科方法和治疗方案。严格方案的应用可能有助于挑选并随访有积极性的患者，以及组织多学科研究活动。
