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[减重手术的再次干预及并发症处理]

[Redo intervention and complication management in bariatric surgery].

作者信息

Hasenberg T, Niedergethmann M

机构信息

Klinik für Allgemein- und Viszeralchirurgie, Alfried Krupp Krankenhaus, Hellweg 100, 45276, Essen, Deutschland,

出版信息

Chirurg. 2014 Jul;85(7):643-54. doi: 10.1007/s00104-013-2682-x.

Abstract

Morbid obesity and the associated comorbidities are rapidly increasing worldwide. Bariatric surgery has proven to be an effective treatment option. In 2011 more then 340,000 bariatric procedures were performed worldwide which is accompanied by a growing demand for revision bariatric procedures due to complications or failure, such as insufficient weight loss or weight regain.Redo operation procedures as well as the management of complications require a profound preoperative medical history and diagnostic investigation in combination with an exact knowledge of the anatomical changes made in the primary procedure.

摘要

病态肥胖及相关合并症在全球范围内正迅速增加。减肥手术已被证明是一种有效的治疗选择。2011年,全球进行了超过34万例减肥手术,同时,由于并发症或手术失败,如体重减轻不足或体重反弹,对减肥手术翻修的需求也在不断增加。再次手术操作以及并发症的处理需要详细的术前病史和诊断性检查,同时要精确了解初次手术所造成的解剖学改变。

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