| Popis: |
Obesity is an increasingly widespread pathology worldwide, but despite the pandemic the only effective therapy to date is surgery. Accordingly, each year an increasing percentage of the population becomes former bariatric patients, so that the number of complications in previous bariatric surgery cases is rising. The first bariatric procedures were performed in the 1950s, but until the late 1980s the use of surgery for obesity was confined to a few centers. The great diffusion of bariatric surgery corresponded with the spread of laparoscopic surgery (1990s). Because of its young age bariatric surgery has long been considered a minor surgery, and therefore many surgeons are not trained in the management of its complications. Along with perioperative complications there are many complications that occur years after surgery, which include internal hernias (perhaps the most insidious and difficult to diagnose), intestinal obstructions, perforated ulcers, slippage or stenosis of the gastric band (a complication with severity ranging from mild to catastrophic). General surgeons must be familiar with the new post-bariatric anatomy and the possible complications, because some of these require life-saving surgery in emergency conditions and do not allow the patient to be transferred to a bariatric center. |
