Die chirurgische Therapie der Fettsucht

  • B. Husemann

Zusammenfassung

Standardtherapie zur Behandlung der extremen Fettsucht ist die konservative, diätetische Calorienreduktion [22, 57]. In 30% aller Fälle führt sie zum Erfolg, scheitert jedoch oft bei extremem Übergewicht von mehr als 100% [22, 38]. Therapieresistenz und hohe Rezidivrate führen den Patienten zum Chirurgen. Auch das Ziel der Operation ist die Verminderung der Calorienzufuhr. Zwei Möglichkeiten bieten sich an:
  • die Reduktion der resorbierenden Oberfläche im Dünndarm (Malabsorption) durch Jejunoileostomie und

  • die Einschränkung der Speisenaufnahme durch Verkleinerung des Magenreservoirs mit verzögerter Entleerung (Gastric Bypass) [39, 40, 41, 55].

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Copyright information

© Springer-Verlag Berlin Heidelberg 1981

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  • B. Husemann

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