Primary care management of patients after weight loss surgery
| Autor: | Michael Moore, James Hopkins, Patrick Wainwright |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Sleeve gastrectomy Chest Pain Fever Vomiting medicine.medical_treatment Bariatric Surgery 030209 endocrinology & metabolism Comorbidity Chest pain 03 medical and health sciences 0302 clinical medicine Port (medical) Postoperative Complications Weight loss Tachycardia Weight Loss medicine Humans 030212 general & internal medicine Obesity Referral and Consultation Primary Health Care business.industry General surgery Stomach General Medicine Surgery Abdominal Pain medicine.anatomical_structure Dyspnea Dietary Supplements Practice Guidelines as Topic medicine.symptom Weight Loss Surgery business |
| Zdroj: | BMJ (Clinical research ed.). 352 |
| ISSN: | 1756-1833 |
| Popis: | What you need to know Bariatric surgery is the most effective treatment for sustained weight loss in people with complex obesity,1 2 and reports from large UK and international registries highlight its overall safety.3 4 The overall mortality of 0.07% and composite complication rate of less than 4% for gastric bypass are similar to those for laparoscopic cholecystectomy.4 After surgery, short hospital stays are the norm (median one day for gastric band and two days for a sleeve gastrectomy or gastric bypass).2 General practitioners thus need to recognise early, as well as late, postoperative complications, monitor long term nutrition, and provide support. General practitioners may also need to assess patients who have had bariatric surgery abroad (sometimes with non-standard procedures), without any follow-up planned. Useful resources for patients include BOSPA (http://www.bospauk.org) and WLSinfo (http://www.wlsinfo.org.uk). Box 1 describes the three most common procedures performed in the United Kingdom. More than 95% are done laparoscopically.3 5 #### Box 1: Most common bariatric surgery procedures in UK (fig 1⇓) ##### Laparoscopic adjustable gastric banding An adjustable band is placed around the top of the stomach, forming a small gastric pouch above it. The band is adjusted by injecting saline into a port positioned under the skin to achieve the sensation of fullness after a small amount of food. ##### Roux-en-Y gastric bypass The most common operation for weight loss in the UK NHS (60%), involving creation of a small gastric pouch by stapling. A classical Roux-en-Y reconstruction is then fashioned with … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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