Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Ann Thorac Surg. 2011 Oct;92(4):1517-8. doi: 10.1016/j.athoracsur.2011.03.107.
Obesity is associated with a high risk of developing intraoperative and postoperative complications in patients undergoing cardiac surgery. Morbid obesity is a relatively common cause for delay in surgery, whereas the patients are optimized to a near normal body mass index. We evaluate the role of intragastric balloon in this group of patients. We present the case of a 68-year-old man who had successful treatment of his obesity prior to undergoing a successful triple bypass using an intragastric balloon. We draw the conclusion that intragastric balloon is a simple, safe procedure for preoperative optimization in patients with morbid obesity prior to cardiac surgery.
肥胖与接受心脏手术的患者术中及术后并发症的发生风险增高相关。病态肥胖是导致手术延迟的一个相对常见的原因,而患者的体重指数接近正常。我们评估了胃内球囊在这组患者中的作用。我们报告了 1 例 68 岁男性患者的病例,他在成功接受三重搭桥手术前,使用胃内球囊成功治疗了肥胖症。我们得出结论,胃内球囊是一种简单、安全的术前优化方法,可用于拟行心脏手术的病态肥胖患者。