减重手术后慢性腹痛的原因与对策

Chronic abdominal pain after bariatric surgery:causes and countermeasures

减重手术已成为治疗肥胖症的常用手段之一,尤其对重度肥胖症及相关代谢性疾病人群,降低体重的同时可以改善多种代谢合并症,大大提高了患者的生活质量。随着减重手术在全球范围内的广泛开展,手术量激增的同时也伴随着各种并发症。慢性腹痛是目前术后常见的并发症之一,近半数患者主诉术后有腹痛经历,严重影响患者的治疗效果和预后。因此,积极采取有效措施,及早的预防和识别慢性腹痛,有利于改善预后、提高患者术后生活质量。本文着重论述减重术后慢性疼痛的危险因素、发病原因、预防及处理措施,总结慢性腹痛的临床处理经验。

Bariatric surgery has become one of the common methods for the treatment of obesity,especially for patients with severe obesity and related metabolic diseases.It can reduce body weight and improve the quality of life of patients with metabolic comorbidities.As bariatric surgery has become widely available worldwide,the surge in surgical volume has come with troubling complications.Chronic abdominal pain is one of the common complications after surgery,and nearly half of the patients complain of abdominal pain after surgery,which seriously affects the treatment effect and prognosis of patients.Therefore,actively taking effective measures to prevent and identify chronic abdominal pain as early as possible is conducive to improving the prognosis and quality of life of patients after surgery.This article focuses on the risk factors,causes,prevention and treatment of chronic abdominal pain after bariatric surgery,and discusses the management experience of chronic abdominal pain.