减重代谢手术并发症的处理

Treatment on complications of bariatric & metabolic surgery

减重代谢手术治疗肥胖症及2型糖尿病的疗效已得到广泛认可，在国内迅速开展的同时，应预防及时处理手术相关病发症。肥胖导致的肺栓塞是手术死亡的主要因素，吻合口瘘与营养不良分别是术后早期与远期最常见的并发症，总体而言减重代谢手术是非常安全的，充分的术前准备，严密的术后监测，多学科协作积极处理是有效防治术后并发症的保障。

The excellent effect of treatment on obesity and type 2 diabetes mellitus with bariatric and metabolic surgery had been widely recognized. As China′s surgery rapidly develop, to achieve good surgical outcomes, there should be given adequate attention for surgical safety and prevention and treatment of complications. The pulmonary embolism is the main cause of mortality, fistula and malnutrition are most common early and late complication separately. In general, the bariatric and metabolic surgery is safe, the appropriate preparation of pre-surgery, postoperative monitoring and active treatment of complications with multi-disciplinary cooperation is the key.