Yale C E
Department of Surgery, University of Wisconsin Medical School, Madison.
Postgrad Med. 1988 May 1;83(6):173-5, 178-80. doi: 10.1080/00325481.1988.11700264.
Every physician strives for a treatment that is 100% effective. Although operations for morbid obesity are not perfect, their 80% success rate in helping patients maintain a loss of at least 20% of their original weight is far better than the less-than-10% success rate of nonsurgical treatments. Of the procedures available, intestinal bypass should be avoided, as side effects are numerous. Roux-en-Y gastric bypass is generally successful, as is banded gastroplasty. Surgical candidates need to be selected carefully, and patients must be educated to stay involved in treatment, that is, "use" their operation to ensure a successful outcome.
每位医生都追求一种100%有效的治疗方法。虽然治疗病态肥胖的手术并不完美，但它们在帮助患者保持至少减轻其原始体重20%方面80%的成功率远高于非手术治疗不到10%的成功率。在现有的手术方法中，应避免肠道分流术，因为其副作用众多。胃旁路术（Roux-en-Y）通常是成功的，胃束带术也是如此。手术候选人需要仔细挑选，并且必须对患者进行教育，使其持续参与治疗，即“利用”他们的手术来确保取得成功的结果。
