Vargo John J
Department of Gastroenterology and Hepatology, Digestive Disease Institute, 9500 Euclid Avenue, Desk A-30, Cleveland, OH 44195, USA.
Gastrointest Endosc Clin N Am. 2011 Apr;21(2):257-63. doi: 10.1016/j.giec.2011.02.011.
Obesity is a significant health problem that has assumed epidemic proportions. A durable reduction in weight and improved morbidity and mortality have been realized with the introduction of various bariatric surgical procedures. It is unknown how safe the current practices of sedation for endoscopic procedures are in bariatric patients. Morbid obesity can result in pulmonary hypertension, obstructive sleep apnea, and restrictive lung disease. This article explores these issues and how they may impact the risk profile of current standards for endoscopic sedation.
肥胖是一个严重的健康问题，已呈流行态势。通过引入各种减肥手术，体重得以持久减轻，发病率和死亡率也有所改善。目前在内镜检查中对肥胖患者进行镇静的操作安全性如何尚不清楚。病态肥胖可导致肺动脉高压、阻塞性睡眠呼吸暂停和限制性肺病。本文探讨了这些问题以及它们如何可能影响当前内镜镇静标准的风险状况。
