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减重手术后的良性肛肠疾病和盆底疾病

Benign Anorectal Disorders and Pelvic Floor Disease After Bariatric Surgery.

作者信息

Lisi Giorgio, Campanelli Michela, Benavoli Domenico, Bianciardi Emanuela, Spoletini Domenico, Gentileschi Paolo

机构信息

Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144 Rome, Italy.

Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133 Rome, Italy.

出版信息

J Clin Med Res. 2022 Jul;14(7):260-263. doi: 10.14740/jocmr4713. Epub 2022 Jun 2.

Abstract

The correlations between morbid obesity, bariatric surgery and gastrointestinal disorders are well known and reported. Symptoms like abdominal pain, constipation, bloating, heartburn and gastroesophageal reflux disease are known to be significantly more prevalent in overweight patients and body mass index is associated positively with abdominal pain and diarrhea. In spite of these conditions, less is known about the lower gastrointestinal tract. Of these, anorectal disorders and pelvic floor disease are both believed to be more frequent in obese patients compared to the general population. Weight loss related to bariatric surgery seems to improve quality of life and weight-related symptoms, although some of these conditions may get worse. All these conditions are rarely studied in patients undergoing bariatric surgery for morbid obesity. This concise review aimed to focus on these conditions in patients undergoing bariatric surgery for morbid obesity in order to improve patient selection and post-operative management.

摘要

病态肥胖、减肥手术与胃肠道疾病之间的相关性已广为人知并有所报道。众所周知,腹痛、便秘、腹胀、烧心和胃食管反流病等症状在超重患者中更为普遍,且体重指数与腹痛和腹泻呈正相关。尽管存在这些情况,但对于下消化道的了解仍较少。其中,与一般人群相比,肥胖患者的肛肠疾病和盆底疾病被认为更为常见。与减肥手术相关的体重减轻似乎能改善生活质量和与体重相关的症状,尽管其中一些情况可能会恶化。在接受减肥手术治疗病态肥胖的患者中,所有这些情况都很少被研究。这篇简明综述旨在关注接受减肥手术治疗病态肥胖的患者的这些情况,以改善患者选择和术后管理。

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