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KMID : 1033120120010020078
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대한비만대사외과학회지
2012 Volume.1 No. 2 p.78 ~ p.85
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Complications of Surgery for Morbid Obesity: Roux-en-Y Gastric Bypass
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Heo Yoon-Seok
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Abstract
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With the advancement and use of minimally invasive techniques, laparoscopic Roux-en-Y gastric bypass (LRYGB) has been the most common procedure of bariatric surgery in the world although it is not in Korea. Prospective randomized studies have shown that LRYGB results in less blood loss, pain, medication requirements, shorter return to daily activities, and fewer complications than the open approach and comparable long-term results. Morbidly obese patients usually present with associated comorbidities at the time of evaluation and surgery, and they are considered high-risk patients and labile to postoperative complications. Additionally change of the anatomy and physiology cause the long term complications. Meanwhile, LRYGB remains one of the most advanced laparoscopic procedures currently performed worldwide. In an effort to overcome the steep learning curve, formal fellowship training or prolonged monitoring is required. LRYGB is still associated with a unique set of postoperative complications and a risk of mortality. Therefore, patients must be educated about these possible complications and potential adverse outcomes. The same skills, knowledge, and experience needed to perform the surgery are also required to manage these complications. Despite the well-documented safety of LRYGB, several short-term and long-term complications, with varying degrees of morbidity and mortality risk, are known to occur. Bariatric surgeons should be familiar with these complications, and knowledgeable in risk-reduction strategies to minimize the incidence of complication occurrence and recurrence.
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KEYWORD
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Gastric bypass, Complication, Bariatric surgery, Roux-en-Y
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FullTexts / Linksout information
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