Bariatric surgery: techniques, outcomes and complications

Current anaesthesia and critical care Pub Date : 2010-02-01 Epub Date: 2009-11-13 DOI:10.1016/j.cacc.2009.10.005

Haris A. Khwaja , Gianluca Bonanomi

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引用次数: 43

Abstract

Bariatric or weight loss surgery is the only treatment for morbid obesity that confers definitive weight loss at long-term follow-up. In addition to weight reduction there is a strong possibility of amelioration or even cure of various co-morbid conditions associated with obesity such as Type II diabetes mellitus, obstructive sleep apnoea, hypertension, asthma, osteoarthritis and gastro-oesophageal reflux disease.

Laparoscopic bariatric surgery is now the gold standard technique in weight loss surgery with the Roux-en-Y Gastric Bypass, Adjustable Gastric Band and Sleeve Gastrectomy being the commonly performed surgeries in Europe, United States and Australia.

This review aims to outline the technique, efficacy and complications of these procedures as well as outline the less commonly performed though highly efficacious Bilio-pancreatic Diversion and Duodenal Switch. For the maximal benefit of any of the above weight loss surgeries it is essential the management of these patients be within a multi-disciplinary team (MDT) setting. Indeed it is the vital contributions of the anaesthesiologists, dieticians, clinical psychologists and diabetologists as well as technically sound surgery that ensures a successful outcome from bariatric surgery.

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减肥手术:技术、结果和并发症

减肥或减肥手术是治疗病态肥胖的唯一方法，在长期随访中可以确定体重减轻。除了减轻体重外，还有很大的可能改善甚至治愈与肥胖相关的各种合并症，如II型糖尿病、阻塞性睡眠呼吸暂停、高血压、哮喘、骨关节炎和胃食管反流病。腹腔镜减肥手术现在是减肥手术的金标准技术，Roux-en-Y胃旁路、可调节胃带和袖式胃切除术是欧洲、美国和澳大利亚常用的手术。本文综述了这些手术的技术、疗效和并发症，并概述了较不常见的手术方法，尽管胆胰转流术和十二指肠转流术非常有效。为了使上述任何一种减肥手术获得最大的益处，这些患者的管理必须在多学科团队(MDT)的环境中进行。事实上，这是麻醉师、营养师、临床心理学家和糖尿病学家以及技术上合理的手术的重要贡献，确保了减肥手术的成功结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Current anaesthesia and critical care

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