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减重手术后的内镜检查。

Endoscopy after bariatric surgery.

作者信息

Malli Chrysoula P, Sioulas Athanasios D, Emmanouil Theodoros, Dimitriadis George D, Triantafyllou Konstantinos

机构信息

Hepatogastroenterology Unit, Second Department of Internal Medicine, Research Institute and Diabetes Center, Attikon University General Hospital, Medical School, National and Kapodistrian University, Athens, Greece.

出版信息

Ann Gastroenterol. 2016 Jul-Sep;29(3):249-57. doi: 10.20524/aog.2016.0034. Epub 2016 Apr 19.

Abstract

Obesity is a global epidemic with significant morbidity and mortality. Weight loss results in reduction of health risks and improvement in quality of life, thus representing a goal of paramount importance. Bariatric surgery is the most efficacious choice compared to conservative alternatives including diet, exercise, drugs and behavioral modification to treat obese patients. Following bariatric operations, patients may present with upper gastrointestinal tract complaints that warrant endoscopic evaluation and the various bariatric surgery types are often linked to complications. A subset of these complications necessitates endoscopic interventions for accurate diagnosis and effective, minimal invasive treatment. This review aims to highlight the role of upper gastrointestinal endoscopy in patients who have undergone bariatric surgery to evaluate and potentially treat surgery-related complications and upper gastrointestinal symptoms.

摘要

肥胖是一种全球性流行病,具有显著的发病率和死亡率。体重减轻可降低健康风险并改善生活质量,因此是一个至关重要的目标。与包括饮食、运动、药物和行为改变在内的保守治疗方法相比,减肥手术是治疗肥胖患者最有效的选择。减肥手术后,患者可能会出现上消化道症状,需要进行内镜评估,而且各种减肥手术类型往往与并发症有关。这些并发症中的一部分需要进行内镜干预,以实现准确诊断和有效、微创的治疗。本综述旨在强调上消化道内镜检查在接受减肥手术患者中的作用,以评估并可能治疗与手术相关的并发症和上消化道症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f766/4923810/8ddff8238b67/AnnGastroenterol-29-249-g001.jpg

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