Schlottmann Francisco, Herbella Fernando A M, Patti Marco G
1 Department of Medicine and Surgery, Center for Esophageal Diseases and Swallowing, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
2 Department of Surgery, Hospital Alemán of Buenos Aires, University of Buenos Aires , Buenos Aires, Argentina .
J Laparoendosc Adv Surg Tech A. 2018 Aug;28(8):953-955. doi: 10.1089/lap.2018.0396. Epub 2018 Jul 13.
The epidemic of morbid obesity in the United States has reached dramatic proportions. Because of the associated comorbidities and because life style changes and exercise have limited effect, bariatric surgery has been used more often during the last 10 years as it has been shown to be safe and effective in decreasing weight and resolving comorbidities. Recently many studies have focused on a potential complication of bariatric surgery, gastroesophageal reflux disease, mostly because of the increasing use of sleeve gastrectomy. This article reviews the pathophysiology of reflux in morbid obese patients, the proper work-up before a bariatric operation, and the selection of the procedure based on the individual patient's characteristics.
美国病态肥胖症的流行已达到惊人的程度。由于存在相关的合并症，且生活方式改变和运动的效果有限，在过去10年中，减肥手术的使用更为频繁，因为它已被证明在减轻体重和解决合并症方面是安全有效的。最近，许多研究聚焦于减肥手术的一种潜在并发症——胃食管反流病，主要原因是袖状胃切除术的使用日益增加。本文综述了病态肥胖患者反流的病理生理学、减肥手术前的适当检查以及根据个体患者特征选择手术方式。
