Complications of Sleeve Gastrectomy
Mohamed Elemam Elemam Elshawy;
Abstract
Obesity is the most common form of malnutrition in developed countries. Prevalence of obesity is rising to an epidemic proportion around the world.
Obesity increases the risk of medical illness and premature death and thus imposes an enormous economic burden on the health care system.
Many morbidities are underlying causes for the earlier mortality associated with obesity including coronary artery disease, hypertension, impaired cardiac function, adult onset diabetes mellitus, venous stasis and hypercoagulability leading to an increased risk of pulmonary embolism.
The most widely accepted measure of obesity is the body mass index (BMI) which equals patient weight in kilograms divided by the square of his or her height in meters, a normal BMI ranges from 18.5-24.5 kg/m2 , overweight equals BMI between 25-29.5 kg/m2 , obesity equals BMI 30 kg/m2 or higher.
Treatment of morbid obesity should begin with simple lifestyle changes, including moderation of diet and initiation of regular exercise such as walking and pharmacological management.
However, because the only effective treatment for morbid obesity is bariatric surgery, these are the initial steps is to be taken in preparation for the more definitive, albeit invasive, treatment. Bariatric surgery offers the only means of delivering sustained weight loss.
Bariatric surgical techniques are divided into two groups: malabsorptive and restrictive procedures. In general, restrictive procedures are simpler to perform and are accompanied by less procedural complications than malabsorptive procedures.
The original purely malabsorptive procedures such as jejuno-ileal bypass are no longer performed due to their unacceptably high late complication rate. They have been replaced by restrictive or combined operations. Open surgery has largely been replaced by a laparoscopic approach.
Obesity increases the risk of medical illness and premature death and thus imposes an enormous economic burden on the health care system.
Many morbidities are underlying causes for the earlier mortality associated with obesity including coronary artery disease, hypertension, impaired cardiac function, adult onset diabetes mellitus, venous stasis and hypercoagulability leading to an increased risk of pulmonary embolism.
The most widely accepted measure of obesity is the body mass index (BMI) which equals patient weight in kilograms divided by the square of his or her height in meters, a normal BMI ranges from 18.5-24.5 kg/m2 , overweight equals BMI between 25-29.5 kg/m2 , obesity equals BMI 30 kg/m2 or higher.
Treatment of morbid obesity should begin with simple lifestyle changes, including moderation of diet and initiation of regular exercise such as walking and pharmacological management.
However, because the only effective treatment for morbid obesity is bariatric surgery, these are the initial steps is to be taken in preparation for the more definitive, albeit invasive, treatment. Bariatric surgery offers the only means of delivering sustained weight loss.
Bariatric surgical techniques are divided into two groups: malabsorptive and restrictive procedures. In general, restrictive procedures are simpler to perform and are accompanied by less procedural complications than malabsorptive procedures.
The original purely malabsorptive procedures such as jejuno-ileal bypass are no longer performed due to their unacceptably high late complication rate. They have been replaced by restrictive or combined operations. Open surgery has largely been replaced by a laparoscopic approach.
Other data
| Title | Complications of Sleeve Gastrectomy | Other Titles | المشاكل الناجمة عن عملية التصغيرالطولى للمعدة وكيفية معالجتها | Authors | Mohamed Elemam Elemam Elshawy | Issue Date | 2014 |
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