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Somnologie

, Volume 22, Issue 4, pp 251–256 | Cite as

Adipositaschirurgie im Kontext der Schlafmedizin

  • Steffen Seyfried
  • Joachim T. Maurer
  • Christian Galata
  • Georgie Vassilev
  • Mirko Otto
Übersichten
  • 49 Downloads

Zusammenfassung

Die morbide Adipositas und ihre Begleiterkrankungen entwickeln sich zu einem stetig wachsenden Gesundheits- und Wirtschaftsproblem. Neben Diabetes gehören auch schlafbezogene Atmungsstörungen zu den „Big Playern“ der adipositasassoziierten Begleiterkrankungen. Aktuell vermag es keine konservative Therapie, die morbide Adipositas und deren Begleiterkrankungen nachhaltig zu verbessern. Die am häufigsten durchgeführten Operationen in Deutschland sind der Roux-Y-Magenbypass (RYGB) und der Schlauchmagen (Gastric Sleeve, GS). Hierzu existiert gute Evidenz, gewonnen aus hoher Datenqualität. Das Risikoprofil der Eingriffe ist überschaubar und gemessen an den (Langzeit‑)Komplikationen der Begleiterkrankungen absolut im Hintergrund. Bariatrische Chirurgie ist, vielfach evident belegt, effektiv und beeinflusst nachhaltig die morbide Adipositas und deren Komorbiditäten.

Schlüsselwörter

Bariatrische Chirurgie Schlafbezogene Atmungsstörungen Roux-Y-Magenbybass Schlauchmagen Lebensqualität 

Obesity surgery in the context of sleep medicine

Abstract

Morbid obesity and its concomitant diseases are becoming a growing health and economic problem. It is known that severe obesity is related to diseases like diabetes, arterial hypertension, dyslipoproteinemia, sleep apnea, and numerous other serious illnesses including cancer. Currently, there is no conservative therapy to sustainably improve morbid obesity and its comorbidities. The most commonly performed surgeries in Germany are the Roux-Y gastric bypass (RYGB) and the sleeve gastrectomy for which there is good evidence gained from high quality data. Bariatric procedures can be performed with operative mortality no greater than cholecystectomy and has evolved as an effective and safe therapeutic option for treating morbid obesity. It can achieve sustained weight loss, remission of comorbidities and leads to an improved quality of life.

Keywords

Bariatric surgery Sleep apnea syndromes Gastric bypass Sleeve gastrectomy Quality of life 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

S. Seyfried, J.T. Maurer, C. Galata, G. Vassilev und M. Otto geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Steffen Seyfried
    • 1
  • Joachim T. Maurer
    • 1
  • Christian Galata
    • 1
  • Georgie Vassilev
    • 1
  • Mirko Otto
    • 1
  1. 1.Medizinische Fakultät Mannheim der Universität Heidelberg, Chirurgische KlinikUniversitätsmedizin MannheimMannheimDeutschland

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