Leutenegger A
Z Gastroenterol. 1985 Apr;23(4):203-9.
The main surgical procedures in the treatment of obesity are described. Plastic surgery, e. g. apronectomy or breast reduction, may be discussed in patients after successful weight reduction, but not as a primary operative treatment of massive obesity. Different intestinal bypass procedures inducing malabsorption have been abandoned because of severe metabolic sequels. More physiologic conditions can be achieved with gastric partitioning creating a small upper gastric pouch in continuity with the remainder of the stomach. If strict rules of patient selection and operative technique are observed, satisfactory weight loss without significant late complications may be achieved.
文中描述了治疗肥胖症的主要外科手术。整形手术，如腹壁成形术或乳房缩小术，可在体重成功减轻后的患者中讨论，但不作为重度肥胖症的主要手术治疗方法。由于严重的代谢后遗症，不同的导致吸收不良的肠道旁路手术已被摒弃。通过胃分隔术，即创建一个与胃的其余部分相连的小的上胃囊，可以实现更符合生理的状况。如果遵守严格的患者选择和手术技术规则，可实现令人满意的体重减轻且无明显的晚期并发症。
