修正手术在减重手术治疗失败及并发症中的应用

对于绝大多数病态性肥胖患者,手术治疗至今仍然是唯一被证明有效并保持体质量丢失的办法.目前公认减重效果良好、安全可靠且应用较广泛的术式为可调节胃束带手术（AGB）、袖状胃切除术（SG）和Roux-en-Y胃旁路术（RYGB）.随着减重手术需求的增加,由于初次减重手术治疗效果不理想而要求修正手术的患者数量也随之增多.减重失败和术后并发症是进行修正手术的两个最主要的原因.一系列数据说明,修正手术对于不成功的体质量和初次手术引起的并发症是有效的治疗措施.需要根据初次减重手术的方式和结果来选择合理的修正手术.修正手术对于大部分患者而言,其获益大于风险.

Application of revisional operation in failure and complication of bariatric surgery

For the vast majority of morbidly obese patients,surgical treatment remains the only effective way proven to maintain weight loss.Currently adjustable gastric banding （AGB）,sleeve gastrectomy （SG）,Roux-en-Y gastric bypass（RYGB） are the methods which are recognized as safe,reliable,effective for weight loss,and has been widely used.Along with the increase in the volume of bariatric operations,patients whose primary bariatric operation is not ideal and who need revision surgery are also increasing.Weight loss failure and postoperative complications are two of the main indications for revisional operation.A series of data indicate that revisional operation is an effective treatment for unsuccessful weight loss and complications of primary operation.Surgeons should choose reasonable,correct operation refer to the initial bariatric operation and results.For most patients,the benefits overweigh the risks.