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Operative Prinzipien

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Psychosoziale Aspekte der Adipositas-Chirurgie

Zusammenfassung

Die Zunahme der Adipositas insbesondere bei den jüngeren Erwachsenen stellt ein erhebliches gegenwärtiges und auch zukünftiges gesundheitspolitisches und sozioökonomisches Problem dar. Ein operativer Eingriff stellt in den meisten Fällen die gegenwärtig einzig verfügbare nachhaltige Therapieoption dar, die auch an erster Stelle stehen kann. Getrennt wird neuerdings zwischen der klassischen Adipositaschirurgie und der Metabolischen Chirurgie, bei letzterer wird die Indikation primär zur Verbesserung der glykämischen Stoffwechsellage bei einem vorbestehenden Typ-2-Diabetes gestellt. Das Therapieziel adipositaschirurgischer Eingriffe ist es, durch eine nachhaltige Gewichtsreduktion und metabolische Veränderungen Folgendes zu erreichen: Verbesserung der Lebensqualität, Remission, Besserung bzw. Prophylaxe von Begleiterkrankungen, Verlängerung des Überlebens und Erhalt der Teilhabe (am Arbeitsleben, am gemeinschaftlichen und kulturellen Leben).

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Authors and Affiliations

  1. Klinik und Poliklinik für Visceral-, Transplantations-, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland

    Arne Dietrich

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  1. Arne Dietrich
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Correspondence to Arne Dietrich .

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Editors and Affiliations

  1. Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover, Hannover, Deutschland

    Martina de Zwaan

  2. Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum der Ruhr-Universität Bochum, Bochum, Deutschland

    Stephan Herpertz

  3. Abteilung für Psychosomatische Medizin und Psychotherapie, Medizinische Universitätsklinik Tübingen, Tübingen, Deutschland

    Stephan Zipfel

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Dietrich, A. (2019). Operative Prinzipien. In: de Zwaan, M., Herpertz, S., Zipfel, S. (eds) Psychosoziale Aspekte der Adipositas-Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57364-8_3

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  • DOI: https://doi.org/10.1007/978-3-662-57364-8_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57363-1

  • Online ISBN: 978-3-662-57364-8

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