14 KB68 KB12 KB192920262006Breznikar, Braneštevilka:123 straniletnik:75str. 813-815ISSN:1318-0347COBISSID:22407897URN:URN:NBN:SI:doc-S6BCCVHVslSlovensko zdravniško društvoZdravniški vestnikdebelostDebelost bolezenskakirurško zdravljenjeObesity, MorbidSurgerytherapyzdravljenježelodecKirurško zdravljenje čezmerne debelosti| Surgical treatment of morbid obesity|Background In the article we present a morbid obesity and treatment options. We describe instructions for patients before operation and our results for operation with adjustable band. Patients and methods Between May and December 2005 we operated 10 morbidly obese patients, 7 female and 3 male, aged 23 to 56, body mass index (BMI) between 38 and 48.5 (laparoscopically inserted adjustable band). Two had comorbidity (diabetes). Results We followed the patients' status between 1 and 8 months. They reduced their body meight from 5to 28 kg, on average 4.3 kg per month. Conclusions Bariatric surgery is successful method for morbid obesity treatment. lt demands multidisciplinary approach. Beside surgeon, endocrinologist, gastroenterologist, psychologist and others take part in the decision for the operation. During subsequent treatment dietetics and general physician play an important roleIzhodišča Predstavljena je problematika čezmerne debelosti in možnosti zdravljenja. Opisana so navodila za bolnike pred operacijo in pregled naših rezultatov operacije zažetja želodca s prilagodljivim obročem (ZŽPO). Bolniki in metode Od maja do decembra 2005 smo laparoskopsko vstavili 10 prilagodljivih trakov pri 7 ženskah in 3 moških, starih od 23 do 56 let z indeksom telesne mdse (ITM) od 38 do 48,5. Dva sta imela spremljajočo bolezen (diabetes). Rezultati Bolnike smo spremljali od enega do osmih mesecev. Shujšali so od 5 do 28 kg, povprečno 4,3 kg na mesec. Zaključki Bariatrična kirurgija je uspešna metoda zdravljenja debelosti, a zahteva multidisciplinarni pristop. Poleg kirurga odločajo o indikacijah še endokrinolog, gastroenterolog in psiholog. V kasnejšem spremljanju pa imata pomembno vlogo tudi dietetik in splošni zdravnikTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo