Surgical Implications of Obesity

Annual Review of Medicine - Tập 49 Số 1 - Trang 215-234 - 1998
Louis Flancbaum1, Patricia S. Choban1
1Department of Surgery, The Ohio State University College of Medicine, Columbus, Ohio 43210

Tóm tắt

Obesity is perhaps the most significant public health problem facing the United States today. Obese patients are at increased risk for numerous medical problems, which can adversely affect surgical outcome. However, these risks have not uniformly translated into increased or prohibitive operative morbidity and mortality in this population. With appropriate perioperative precautions and monitoring, the incidence of serious cardiovascular and pulmonary complications can be minimized. Obese patients can be treated as safely and effectively as their normal weight counterparts under most circumstances and should not be denied surgical treatment for any disorder when surgery constitutes the most appropriate therapy. When indicated, surgical treatment should be considered for patients with clinically severe obesity, since currently it appears to offer the best long-term results for weight control and amelioration of comorbidity.

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