Mason E E, Doherty C, Maher J W, Scott D H, Rodriguez E M, Blommers T J
Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City.
Gastroenterol Clin North Am. 1987 Sep;16(3):495-502.
Identification and designation of those patients whose estimated ideal weight exceeds 225 per cent as super obese has improved our evaluation of operations designed for treatment of obesity. It has also allowed a more realistic prediction of results, and provided a basis for further study of both the need for, and effectiveness of, further modification of operative treatment of these extremely heavy people. The super obese patient provides a severe test for operative weight control. Much has been accomplished with purely restrictive operations in the super obese group and it is possible that the 50 per cent reduction of excess weight achieved by VBG among these patients is sufficient to prevent the more serious medical complications from extreme obesity.
将那些估计理想体重超过225%的患者识别并指定为超级肥胖，这改善了我们对旨在治疗肥胖症的手术的评估。它还使对结果的预测更加现实，并为进一步研究这些极度肥胖者手术治疗的必要性和有效性提供了基础。超级肥胖患者对手术控制体重构成了严峻考验。在超级肥胖组中，单纯限制性手术已经取得了很大成效，而且胃旁路手术（VBG）在这些患者中实现的超重减轻50%，可能足以预防极端肥胖引发的更严重的医学并发症。
