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  • Laparoscopic bariatric surgery in the treatment of morbid obesity = Laparoskopska bariatrična kirurgija pri zdravljenju čezmerne debelosti
    Miller, Karl
    Long-term studies have shown conservative methods to be ineffective in the treatment of morbid obesity. Surgical approaches are divided into restrictive,malabsorptive, combined restrictive and ... malabsorptive and motility-reducing procedures. Laparoscopic implantation of an adjustable gastric band is an efficient restrictive measure for treating the majority of patients with this condition. The adjustable gastric band enables weight loss and food intake to be adjusted to the individual patients needs. Eighty to ninety percent of these patients can expect to lose 55%-70% of their excess weight. Vertical banded gastroplasty is losing ground among the restrictive options. Preliminary experience with this technique is encouraging but the long-term results are disappointing when assessed by the standard criteria. Gastric bypass is gaining ground in Europe and has been established as a standard procedure in USA. This operation is estimated to provide 70%-80% excess weight loss and to afford better quality of life than restrictive procedures. The biliopancreatic diversion with a duodenal switch combines a sleeve gastrectomy with a duodenoileal switch to achieve maximum weight loss. Consistent excess weight loss between 70% and 80% is achieved with acceptable decreased longterm nutritional complications. The laparoscopic approach is a surgical technique with optimum benefit and minimal morbidity, especially in super obese patients. Intra-gastric stimulation is the least invasive surgicalprocedure available. However, it provides lowest excess weight loss in32% in the first two years after the operation. Provided safety recommendations are observed, laparoscopic operations for obesity have a fairly low risk. The martality rate in centres with experienced staff is less than 0.3%. Currently, surgery offers the only viable treatment option with long-term weight loss and maintenance for the morbidly obese. (Abstract truncated at 2000 characters)
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 10, št. 24, okt. 2005, str. 73-88)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - angleški
    COBISS.SI-ID - 20599257

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    Digitalna knjižnica Slovenije - dLib.si

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