Department of Surgery, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia.
Dig Dis. 2012;30(2):178-81. doi: 10.1159/000336677. Epub 2012 Jun 20.
The number of obese people is over one billion worldwide, and the trend is increasing. Frequent failure of conservative approach has been observed. Therefore, various surgical techniques, such as bariatric surgery, are accepted today as a safe and effective treatment of morbid obese condition, and are associated with low perioperative morbidity and mortality rates. The most popular and commonly performed procedures are those related to minimum complications and adequate weight loss: laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass. Since major and minor complications occur in the perioperative, early and late postoperative period, we discuss most frequent complications and importance of early recognition as well as adequate interventions.
全球肥胖人口超过 10 亿,且这一趋势还在不断增加。人们已经注意到,保守治疗方法经常失败。因此,目前各种手术技术,如减重手术,已被接受为治疗病态肥胖的安全有效方法,且具有较低的围手术期发病率和死亡率。最受欢迎和常见的手术是那些与最小并发症和足够体重减轻相关的手术:腹腔镜可调节胃束带术和腹腔镜 Roux-en-Y 胃旁路术。由于在围手术期、早期和晚期术后都会出现主要和次要并发症,因此我们讨论了最常见的并发症以及早期识别和充分干预的重要性。