Department of Surgery, Southmead Hospital, Bristol BS10 5NB, UK.
Postgrad Med J. 2009 Dec;85(1010):678-81. doi: 10.1136/pgmj.2009.082271.
Obesity is a modern-day epidemic with serious physical, psychological and economic implications for the patients. Tackling obesity is now a priority for most healthcare providers. Managing such patients can be complex, emotional, time consuming and often frustrating. Obesity surgery, in its various forms, has revolutionised this struggle. With appropriate selection of patients, adequate resources and a multidisciplinary team involvement, obesity can now effectively be "cured". It is vital that those who deal with obese patients know how to access these services and understand the processes involved in the journey from initial assessment to postoperative follow-up. Obesity surgery has a major impact in reducing obesity-related comorbidities such as diabetes and hypertension and contributes to society by returning patients to work. Prevention must be at the heart of any strategy to manage obesity, but, for established cases, surgery is taking centre stage and will continue to flourish as new techniques and procedures are developed.
肥胖是一种现代流行病,对患者的身体、心理和经济都有严重影响。解决肥胖问题现在是大多数医疗保健提供者的当务之急。管理这类患者可能会很复杂、情绪化、耗费时间,而且常常令人沮丧。各种形式的肥胖手术彻底改变了这场斗争。通过适当选择患者、充足的资源和多学科团队的参与,肥胖现在可以被“治愈”。那些接触肥胖患者的人必须知道如何获得这些服务,并了解从初步评估到术后随访的整个过程。肥胖手术在降低肥胖相关的并发症(如糖尿病和高血压)方面具有重大影响,并通过使患者重返工作岗位为社会做出贡献。预防必须成为管理肥胖策略的核心,但对于已确诊的病例,手术正在占据中心地位,并将随着新技术和新程序的发展而继续蓬勃发展。