Der Chirurg

, Volume 85, Issue 7, pp 643–654 | Cite as

Redo-Eingriffe und Komplikationsmanagement in der bariatrischen Chirurgie

CME Zertifizierte Fortbildung
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Zusammenfassung

Die morbide Adipositas und die damit assoziierten Begleiterkrankungen haben pandemische Ausmaße angenommen. Die bariatrische Chirurgie hat sich in diesem Kontext als effektive Therapie etabliert. 2011 wurden weltweit über 340.000 adipositaschirurgische Eingriffe durchgeführt. Damit einher geht ein steigender Bedarf an sog. Redo-Operationen, sei es wegen revisionsbedürftiger Komplikationen oder wenn das Therapieziel einer nachhaltigen Gewichtsreduktion nicht erreicht werden konnte.

Redo-Operationen und das Komplikationsmanagement bedürfen einer sorgfältigen Anamnese und Diagnostik sowie einer exakten Kenntnis über die durch den Primäreingriff veränderte Anatomie, um die für den Patienten korrekte Folgeoperation durchführen zu können.

Schlüsselwörter

Adipositas Primäreingriff  Komplikationen Folgeoperation Begleiterkrankungen 

Redo intervention and complication management in bariatric surgery

Abstract

Morbid obesity and the associated comorbidities are rapidly increasing worldwide. Bariatric surgery has proven to be an effective treatment option. In 2011 more then 340,000 bariatric procedures were performed worldwide which is accompanied by a growing demand for revision bariatric procedures due to complications or failure, such as insufficient weight loss or weight regain.

Redo operation procedures as well as the management of complications require a profound preoperative medical history and diagnostic investigation in combination with an exact knowledge of the anatomical changes made in the primary procedure.

Keywords

Obesity Primary intervention Complications Reoperation Comorbidities 
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Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt. T. Hasenberg und M. Niedergethmann geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Klinik für Allgemein- und ViszeralchirurgieAlfried Krupp KrankenhausEssenDeutschland

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