Zusammenfassung
Zahlreiche Publikationen belegen die Wirksamkeit bariatrischer Verfahren im Hinblick auf Gewichtsreduktion und die damit verbundene Abnahme von Morbidität und Mortalität morbid Adipöser. In Abhängigkeit vom eingesetzten Verfahren kann es allerdings zu einer Reihe von Früh- und auch Spätkomplikationen kommen, die in einigen Fällen zu gravierenden Beeinträchtigungen im Alltag der Patienten und in Einzelfällen – mit erheblicher zeitlicher Latenz – zu lebensbedrohlichen Mangelerscheinungen führen können. Eine regelmäßige, lebenslange, interdisziplinäre Nachsorge sollte neben der Behandlung vorbestehender Erkrankungen die Vermeidung etwaiger Mangelzustände zu Ziel haben.
Abstract
Many publications have confirmed the effectiveness of bariatric procedures with respect to weight reduction and the associated decrease in morbidity and mortality of the morbidly obese. It can however lead to a series of early and late complications, depending on the procedure used, which in some cases can lead to severe limitations in the daily routine of patients and in isolated cases, with substantial time delay, to the life-threatening appearance of deficiencies. A routine lifelong interdisciplinary follow-up therapy should aim to avoid such deficient conditions in addition to the treatment of preexisting diseases.
Abbreviations
- BPD:
-
Biliopankreatische Diversion
- BPD-DS:
-
Biliopankreatische Diversion mit Duodenalswitch
- LSG:
-
Laparoskopische Sleeve-Gastrektomie
- RYGBP:
-
Roux-en-Y-Magenbypass („Roux-en-Y gastric bypass”)
- VGB:
-
Vertikale bandverstärkte Gastroplastik
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Stein, J., Winckler, K. & Teuber, G. Komplikationen und metabolische Störungen nach bariatrischen Operationen aus gastroenterologischer Sicht. Gastroenterologe 6, 33–39 (2011). https://doi.org/10.1007/s11377-010-0469-x
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DOI: https://doi.org/10.1007/s11377-010-0469-x