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Bariatrische Chirurgie bei morbider Adipositas

Vorbedingungen, Ergebnisse, Nachsorge

Bariatric surgery for morbid obesity

Prerequisites, results, aftercare

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Zusammenfassung

In Deutschland ist jeder zweite Mensch übergewichtig. Problematisch ist besonders die Behandlung von morbid übergewichtigen Pateinten, da bei diesen konservative Maßnahmen häufig fehlschlagen. Die Behandlung dieser Patientengruppe mit Verfahren der bariatrischen Chirurgie kann langfristig gute Ergebnisse in Bezug auf eine nachfolgende Gewichtsabnahme und Verminderung der begleitenden Komorbidität aufweisen. Obligatorisch ist eine strukturierte Nachsorge im Hinblick auf die medizinisch psychologischen Auswirkungen sowie die Notwendigkeit der Erkennung von operationsbedingten Mangelzuständen bei Vitaminen und Mineralien sowie eine Anpassung der Pharmakotherapie.

Abstract

Every second person in Germany is overweight. In patients with morbid obesity, conservative therapeutic measures often fail. Bariatric surgery can induce good long-term results with respect to loss of bodyweight and reduction of concomitant comorbidity in this patient group. To detect operation-induced deficiencies in minerals, vitamins as well as drug and hormone concentrations and to objectify the medical/psychological changes in the patient, a structured follow-up is mandatory. Adaption of pharmacotherapy, especially with respect to diabetes medication, is necessary.

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    C. Rosak

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Rosak, C. Bariatrische Chirurgie bei morbider Adipositas. Diabetologe 6, 630–636 (2010). https://doi.org/10.1007/s11428-010-0622-7

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