Tariq Nabil, Chand Bipan
Flexible Endoscopy and Advanced Laparoscopy, Cleveland Clinic, Cleveland, OH, USA.
Gastrointest Endosc Clin N Am. 2011 Apr;21(2):229-40. doi: 10.1016/j.giec.2011.02.010.
With the increasing number of bariatric surgeries being performed, multiple specialties encounter bariatric patients. This article gives an overview of the comprehensive evaluation and preoperative preparation of a bariatric patient. Medical, psychological, and behavioral evaluation is discussed. The role of routine preoperative endoscopy is controversial but can be very important and may alter the operation performed. Immediate postoperative care is also addressed. Undergoing bariatric surgery is a lifelong commitment, and frequent follow up with reinforcement and monitoring for nutritional deficiencies is extremely important.
随着减肥手术数量的不断增加，多个专科都会接触到肥胖症患者。本文概述了肥胖症患者的综合评估和术前准备。讨论了医学、心理和行为评估。常规术前内镜检查的作用存在争议，但可能非常重要，且可能改变所实施的手术。还阐述了术后即时护理。接受减肥手术是一项终身的事情，频繁进行随访以强化并监测营养缺乏情况极为重要。
