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Management von Komplikationen nach Adipositaschirurgie

Management of complications after bariatric surgery

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Zusammenfassung

Die Frequenz bariatrischer Operationen in Europa nimmt zu. Minimal-invasive Techniken führten zu einer geringeren Morbidität und Mortalität und auch zur Verkürzung der Hospitalisationszeiten. Notfallsituationen müssen somit vermehrt auch von nichtbariatrischen Chirurgen erkannt und behandelt werden. Kenntnisse der klinischen Besonderheiten des morbid adipösen Patienten sind wichtig. Die häufigsten Früh- und Spätkomplikationen der in unserem Sprachraum am meisten angewandten bariatrischen Operationen (Magenbypass, Schlauchmagen und Magenband) werden beschrieben.

Abstract

The frequency of bariatric surgical interventions is increasing throughout Europe. Minimally invasive techniques have led to decreased morbidity and mortality as well as shorter hospitalization; therefore, non-bariatric surgeons are more likely to be confronted with bariatric emergency situations. Knowledge of the specific clinical behavior of morbidly obese patients is important. This article describes the most frequent early and late complications following the most popular bariatric operations in German speaking parts of Europe (e.g. gastric bypass, sleeve gastrectomy and gastric banding).

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Authors and Affiliations

  1. Departement Biomedizin Universitätsspital, Basel, Schweiz

    B. Wölnerhanssen

  2. Viszeralchirurgie, St. Claraspital, Kleinriehenstrasse 30, 4016, Basel, Schweiz

    R. Peterli

Authors
  1. B. Wölnerhanssen
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  2. R. Peterli
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Correspondence to R. Peterli.

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B. Wölnerhanssen gibt an, dass kein Interessenkonflikt besteht. R. Peterli hat Beraterfunktion bei Ethicon Endosurgery Schweiz.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Wölnerhanssen, B., Peterli, R. Management von Komplikationen nach Adipositaschirurgie. Chirurg 86, 1114–1120 (2015). https://doi.org/10.1007/s00104-015-0098-5

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