Luton & Dunstable Hospital, Lewsey Road, Luton, UK
Luton & Dunstable Hospital, Lewsey Road, Luton, UK.
Clin Med (Lond). 2023 Jul;23(4):330-336. doi: 10.7861/clinmed.2023-0189.
Obesity has reached pandemic levels globally. Surgical management of obesity aims to establish metabolic control, weight loss and resolution of multiple health conditions and to improve quality of life. Here, we examine the role of surgery in the management of obesity within the context of a multidisciplinary team involving a variety of healthcare professionals. We highlight the importance of patient selection, perioperative care, the various types of bariatric surgery currently available as well as emerging procedures. In addition to clarifying the different types of procedure, we also examine the potential complications and issues of weight regain and failure to lose weight. Ultimately, bariatric surgery remains comparatively safe and with generally excellent results in terms of control of existing obesity-related conditions; with the ever-increasing number of patients living with obesity, the scope of bariatric surgery is thus likely to increase.
肥胖已在全球范围内达到流行程度。肥胖的手术治疗旨在建立代谢控制、减轻体重以及解决多种健康状况，并提高生活质量。在这里，我们研究了在涉及各种医疗保健专业人员的多学科团队中，手术在肥胖管理中的作用。我们强调了患者选择、围手术期护理、当前可用的各种减肥手术以及新兴手术的重要性。除了阐明不同类型的手术外，我们还研究了体重反弹和减肥失败的潜在并发症和问题。最终，减肥手术相对安全，在控制现有的肥胖相关疾病方面效果通常很好；随着越来越多的肥胖患者，减肥手术的范围可能会增加。
