Dualeh Shukri H A, Howard Ryan
Division of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
Institute for Healthcare Policy & Innovation, University of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, Michigan.
Clin Colon Rectal Surg. 2024 Apr 25;38(1):58-63. doi: 10.1055/s-0044-1786391. eCollection 2025 Jan.
This chapter explores the interplay between morbid obesity and the challenges encountered in colorectal surgery. Understanding the unique considerations in preoperative and intraoperative management along with weight optimization tools such as bariatric surgery emerges as potential mitigators, demonstrating benefits in reducing colorectal cancer risk and improving perioperative outcomes. Furthermore, the pervasive stigma associated with morbid obesity further complicates patient care, emphasizing the need for empathetic and nuanced approaches. Recommendations for minimizing stigma involve recognizing obesity as a medical diagnosis, fostering respectful communication, and actively dispelling misconceptions. Colorectal surgeons are pivotal in navigating these complexities, ensuring comprehensive and tailored care for patients with morbid obesity.
本章探讨了病态肥胖与结直肠手术中所面临挑战之间的相互作用。了解术前和术中管理的独特考量因素以及诸如减肥手术等体重优化工具，这些因素成为潜在的缓解因素，显示出在降低结直肠癌风险和改善围手术期结局方面的益处。此外，与病态肥胖相关的普遍污名化现象使患者护理更加复杂，这凸显了采取富有同理心和细致入微方法的必要性。尽量减少污名化的建议包括将肥胖视为一种医学诊断、促进尊重性沟通以及积极消除误解。结直肠外科医生在应对这些复杂性方面起着关键作用，确保为病态肥胖患者提供全面且量身定制的护理。
