Gastrointestinal management of the bariatric surgery patient
Gastrointestinal management of the bariatric surgery patient
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DOI：
10.1016/j.gtc.2004.12.004
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发表时间：
2005-03-01
影响因子：
3.7
通讯作者：
Kaplan, LM
中科院分区：
文献类型：
--
作者：
Kaplan, LM
近年来，使用胃肠道（GI）减肥手术治疗严重和医学上复杂的肥胖症迅速增加。虽然这些手术非常有效，但通常会出现并发症，对接受者的健康和生活质量产生不利影响。在急性围手术期之外，胃肠道和营养并发症是最常见的。因此，胃肠病学家可以为这些患者的术前评估和术后护理做出重要贡献。术前胃肠道评估应排除远端胃疾病、隐匿性胃肠道出血和食管动力障碍;识别肝胆疾病;识别和纠正营养缺乏。最佳的术后护理包括努力预防GI和营养并发症，有效评估和治疗GI症状，以及监测和治疗微量营养素缺乏症。胃肠病学家积极参与照顾接受减肥手术的患者的多学科团队，可以帮助优化结果，降低与这些重要但复杂的治疗相关的风险。
The use of gastrointestinal (GI) weight loss surgery to treat severe and medically complicated obesity has increased rapidly in recent years. Although highly effective, these surgical procedures often are associated with complications that can adversely affect the health and quality of life of its recipients. Beyond the acute peri-operative period, GI and nutritional complications are most common. As a result, gastroenterologists can make an important contribution to the preoperative evaluation and postoperative care of these patients. The preoperative GI evaluation should exclude distal gastric disease, occult GI bleeding, and esophageal dysmotility; identify hepatobiliary disease; and identify and correct nutritional deficiencies. Optimal postoperative care includes efforts to prevent GI and nutritional complications, efficient evaluation and treatment for GI symptoms, and monitoring and treating micronutrient deficiencies. Active participation of the gastroenterologist in the multi-disciplinary team that cares for patients undergoing weight loss surgery can help optimize the outcomes and reduce the risks associated with these important but complex therapies.