The Centre for Advancement of Minimally Invasive Surgery and the Weight Wise Bariatric Centre, University of Alberta, Edmonton, AB.
Can J Surg. 2010 Apr;53(2):126-32.
Obesity can be considered to be one of the most important chronic diseases facing Canadians of all ages. Whereas patients with a very high body mass index may have the most to gain from procedures such as Roux-en-Y gastric bypass or biliopancreatic diversion/duodenal switch, the increased risk of postoperative complications often makes them poor surgical candidates. As a result, several "bridging" procedures have been proposed to impart clinically effective weight loss and reduce the risk of complications and improve outcomes in the definitive weight-loss procedure. In this article, we provide a review of the evidence in support of laparoscopic sleeve gastrectomy as an innovative new surgical procedure used as a bridging procedure in patients with severe obesity and discuss new findings for its possible role as a definitive procedure for some individuals with less severe obesity. Finally, we comment on a possible approach to introduce this innovative new procedure to Canadian bariatric centres.
肥胖可以被认为是所有年龄段的加拿大人面临的最重要的慢性疾病之一。虽然体重指数非常高的患者可能从 Roux-en-Y 胃旁路手术或胆胰分流/十二指肠转位等手术中获益最多，但术后并发症的风险增加通常使他们成为较差的手术候选者。因此，已经提出了几种“桥接”手术来提供临床有效的减肥效果，降低并发症风险并改善确定性减肥手术的结果。在本文中，我们提供了支持腹腔镜袖状胃切除术作为一种创新的新手术的证据综述，该手术作为严重肥胖患者的桥接手术，并讨论了其作为某些轻度肥胖患者的确定性手术的可能作用的新发现。最后，我们对引入这种创新的新手术到加拿大减重中心的可能方法进行了评论。
