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Mini-Review

Bariatrische Chirurgie 2022 – was ist relevant für die Praxis?

Published Online:May 25, 2022https://doi.org/10.1024/1661-8157/a003861

Abstract

Zusammenfassung. Die bariatrische Chirurgie ist die effizienteste Methode zur Behandlung der morbiden Adipositas und der damit verbundenen Begleiterkrankungen. Grundkenntnisse über die Indikationen, gängige Operationen, Nachkontrollen und mögliche Komplikationen sind für die Grundversorgerpraxis unerlässlich geworden. Dieser Artikel erläutert die aktuellen Behandlungsstandards in der Schweiz mit dem Fokus auf relevante Informationen für die Praxis: Ernährungsphysiologische Aspekte nach bariatrischer Chirurgie, notwendige klinische und laborchemische Untersuchungen, das frühzeitige Erkennen von Komplikationen. Nur mit einer engen interdisziplinären und interprofessionellen Zusammenarbeit kann die morbide Adipositas erfolgreich behandelt werden.


Bariatric Surgery in 2022 – What Is Important for the General Practitioner?

Abstract. Bariatric surgery is the most efficient treatment for obesity and associated diseases. Basic knowledge about the indications, common procedures, follow-up and possible complications has become essential for primary care practice. This article explains the current standards of care in Switzerland with a focus on relevant information for the practice: nutritional aspects after bariatric surgery, necessary clinical and laboratory examinations, early detection of complications. Only intense interdisciplinary and interprofessional collaboration leads to a treatment success in morbid obesity.


La chirurgie bariatrique en 2022 – qu’est-ce qui est pertinent pour la pratique?

Résumé. La chirurgie bariatrique est la méthode la plus efficace pour traiter l’obésité morbide et les maladies associées. Des connaissances de base sur les indications, les opérations courantes, les contrôles postopératoires et les complications possibles sont devenues indispensables pour la pratique des médecins de premier recours. Cet article explique les normes de traitement actuelles en Suisse en se concentrant sur les informations pertinentes pour la pratique: aspects nutritionnels après une chirurgie bariatrique, examens cliniques et de laboratoire nécessaires, détection précoce des complications. Seule une étroite collaboration interdisciplinaire et interprofessionnelle permettra de traiter avec succès l’obésité morbide.

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