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减肥手术的并发症:在你的胃肠科诊所中你可能会遇到的情况。

Complications of Bariatric Surgery: What You Can Expect to See in Your GI Practice.

作者信息

Schulman Allison R, Thompson Christopher C

机构信息

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Harvard Medical School, Boston, Massachusetts, USA.

出版信息

Am J Gastroenterol. 2017 Nov;112(11):1640-1655. doi: 10.1038/ajg.2017.241. Epub 2017 Aug 15.

Abstract

Obesity is one of the most significant health problems worldwide. Bariatric surgery has become one of the fastest growing operative procedures and has gained acceptance as the leading option for weight-loss. Despite improvement in the performance of bariatric surgical procedures, complications are not uncommon. There are a number of unique complications that arise in this patient population and require specific knowledge for proper management. Furthermore, conditions unrelated to the altered anatomy typically require a different management strategy. As such, a basic understanding of surgical anatomy, potential complications, and endoscopic tools and techniques for optimal management is essential for the practicing gastroenterologist. Gastroenterologists should be familiar with these procedures and complication management strategies. This review will cover these topics and focus on major complications that gastroenterologists will be most likely to see in their practice.

摘要

肥胖是全球最严重的健康问题之一。减重手术已成为发展最快的手术操作之一,并已被公认为减肥的首选方法。尽管减重手术的操作有所改进,但并发症并不少见。在这类患者群体中会出现一些独特的并发症,需要具备特定知识才能进行妥善管理。此外,与解剖结构改变无关的病症通常需要不同的管理策略。因此,对于执业胃肠病学家而言,基本了解手术解剖结构、潜在并发症以及用于优化管理的内镜工具和技术至关重要。胃肠病学家应熟悉这些手术及并发症管理策略。本综述将涵盖这些主题,并重点关注胃肠病学家在实践中最有可能遇到的主要并发症。

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