General Surgery, Cedars Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA 90048, USA.
General Surgery, Cedars Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA 90048, USA.
Surg Clin North Am. 2021 Oct;101(5):731-753. doi: 10.1016/j.suc.2021.05.017. Epub 2021 Aug 7.
Bariatric and metabolic surgery is a safe and effective treatment of morbid obesity, a disease that continues to increase in prevalence in the United States and worldwide. The two most commonly performed operations are the sleeve gastrectomy and the gastric bypass. Early and late complications can occur, and although referral to a bariatric surgeon or center is ideal, emergency management of acute problems is relevant to all general surgeons. Bariatric surgery can have surgical and metabolic consequences. An understanding of the altered anatomy and physiology helps to guide management of morbidities. This article discusses surgical postoperative complications and metabolic complications.
减重和代谢手术是治疗病态肥胖的一种安全有效的方法,这种疾病在美国和全球的发病率持续上升。两种最常进行的手术是胃袖状切除术和胃旁路术。早期和晚期并发症都可能发生,尽管向减重外科医生或中心转诊是理想的,但对所有普通外科医生来说,对急性问题的紧急处理也很重要。减重手术可能会产生手术和代谢方面的后果。了解改变了的解剖结构和生理学有助于指导对各种并发症的管理。本文讨论了手术后并发症和代谢并发症。