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病态肥胖症的外科治疗:适应证、并发症及替代方案

Surgery for morbid obesity: indications, complications, alternatives.

作者信息

Rogers E L

出版信息

South Med J. 1981 Jan;74(1):47-52. doi: 10.1097/00007611-198101000-00018.

DOI:10.1097/00007611-198101000-00018
PMID:7006094
Abstract

Morbid obesity (100 pounds over ideal body weight) carries with it numerous medical complications and increased mortality which can be improved by weight loss. Medical treatment of obesity is usually not successful, and jejunoileal bypass surgery often produces considerable chronic morbidity which seriously compromises its benefits. Gastric bypass is equally effective and avoids the most severe long-term complications of jejunoileal bypass, but has a higher operative morbidity. Gastric plication will perhaps offer the least operative and chronic morbidity, though few long-term statistics are as yet available.

摘要

病态肥胖(比理想体重超出100磅)会带来众多医学并发症并增加死亡率,而通过减肥这些情况可以得到改善。肥胖的医学治疗通常并不成功,空肠回肠分流术常常会产生相当多的慢性发病率,严重损害了其益处。胃旁路手术同样有效,且避免了空肠回肠分流术最严重的长期并发症,但手术发病率较高。胃折叠术可能带来的手术和慢性发病率最低,不过目前还缺乏长期统计数据。

相似文献

1
Surgery for morbid obesity: indications, complications, alternatives.病态肥胖症的外科治疗:适应证、并发症及替代方案
South Med J. 1981 Jan;74(1):47-52. doi: 10.1097/00007611-198101000-00018.
2
Surgery for morbid obesity. Appraisal of old and new techniques.病态肥胖症的外科手术。新旧技术评估。
Postgrad Med. 1983 Nov;74(5):183-90. doi: 10.1080/00325481.1983.11698504.
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Experiences with conversion of jejunoileal bypass to gastric bypass: its use for maintenance of weight loss.空肠回肠分流术转为胃旁路术的经验:其在维持体重减轻方面的应用。
Arch Surg. 1981 Mar;116(3):320-4. doi: 10.1001/archsurg.1981.01380150048013.
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Clinical trial of jejunoileal and gastric bypass for the treatment of morbid obesity: four-year progress report.空肠回肠分流术和胃旁路术治疗病态肥胖的临床试验:四年进展报告
Am Surg. 1980 Jul;46(7):377-81.
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A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity.胃旁路手术与空肠回肠旁路手术治疗病态肥胖的前瞻性比较。
Ann Surg. 1977 Oct;186(4):500-9. doi: 10.1097/00000658-197710000-00012.
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A review: surgery for morbid obesity.综述:病态肥胖的外科治疗
J Surg Res. 1982 Jul;33(1):74-88. doi: 10.1016/0022-4804(82)90011-7.
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True informed consent in surgical treatment of morbid obesity: the current case for both jejunoileal and gastric bypass.病态肥胖症手术治疗中的真正知情同意:空肠回肠分流术和胃旁路手术的现状
Am J Clin Nutr. 1980 Feb;33(2 Suppl):482-94. doi: 10.1093/ajcn/33.2.482.
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Jejunoileal bypass for the treatment of morbid obesity.空肠回肠旁路术治疗病态肥胖症。
Int Surg. 1980 Mar-Apr;65(2):103-5.
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Obesity surgery in perspective.
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Gastric and jejunoileal bypass. A comparison in the treatment of morbid obesity.胃空肠回肠分流术。病态肥胖治疗方法的比较。
Arch Surg. 1977 Jul;112(7):799-806. doi: 10.1001/archsurg.1977.01370070011001.

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