Restrictive surgery in obesity treatment

被引:0
作者
Fried, Martin [1 ]
机构
[1] CPLO, Ctr Obes Treatment, Prague 9, Czech Republic
来源
CHIRURGISCHE GASTROENTEROLOGIE | 2005年 / 21卷
关键词
restrictive procedures; bariatric surgery; morbid obesity; laparoscopy;
D O I
10.1159/000083977
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Obesity is widely recognized as epidemic of the 21st century. Throughout Europe and the USA, it shows one of the greatest prevalences among serious life-threatening diseases. This overview of historical development of restrictive bariatric procedures and of basic patient selection criteria for restrictive procedures is based on a literature review as well as on almost 20-year personal experience in bariatric surgery. Bariatric surgical community accepts as routine procedures for obesity treatment three categories of interventions. i) Malabsorptive operations (i.e. biliopancreatic diversion and duodenal switch) that control digestion and absorption of food. ii) Combined procedures (gastric bypass in several variations, i. e. short and long limb Roux-en-Y bypass) that combine effect of gastric volume restriction with a degree of malabsorption which is determined by the length of bypassed intestine. iii) Restrictive operations (i. e. gastric banding and vertical banded gastroplasty) restricting the amount of food that can be eaten at a time. Although the operations can be performed either by open surgery or laparoscopy, the majority of them became laparoscopic procedures. All bariatric procedures offer long-term successful and substantial weight losses in appropriately selected patients. Restrictive procedures are the least invasive within the bariatric surgical armamentarium but necessitate patient-specific preoperative team assessment and selection. Focused pre- and postoperative patient education might contribute to long-term weight losses and decrease complication rates following restrictive procedures.
引用
收藏
页码:3 / 6
页数:4
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