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首页> 外文期刊>Surgical Endoscopy >Technique, risks, and true impact of routine preoperative endoscopic evaluation of morbidly obese patients undergoing bariatric surgery.
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Technique, risks, and true impact of routine preoperative endoscopic evaluation of morbidly obese patients undergoing bariatric surgery.

机译：常规减肥术前对肥胖病患者进行术前内镜评估的技术，风险和真正影响。

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In their report on upper digestive endoscopy prior to bariatric surgery, Kiiper et al. [1] state that "endoscopy can be performed safely, but anesthesiological support is strongly recommended in patients with critical condition," The authors did not define critical conditions, but one of these is likely sleep apnea syndrome because the incidence of hypoxemia requiring emergency bronchoscopy was significantly higher in patients affected with this syndrome compared to those who were not [2/14 (14%) vs. 0/51, respectively; p < 0.05 (two-tailed Fisher exact test)]. Also, I think that a procedure that resulted in extremely severe hypoxemia (SaO_2 < 60%) and required emergency bronchoscopy for intratracheal O_2 insufflation in 3% of patients can hardly be regarded as safe. According to a recent survey [2], approximately 350,000 bariatric surgery procedures were performed in 2008 in 36 nations; systematic preoperative endoscopy in these patients (as recommended by the authors) in the conditions described by Kuper et al. would have put 10,000 persons at risk of iatrogenic complications.
机译：Kiiper等人在减肥手术前的上消化内镜检查报告中指出。 [1]指出“可以安全地进行内镜检查，但强烈建议在危重病患者中使用麻醉药”，作者没有定义危重病，但其中一种可能是睡眠呼吸暂停综合症，因为低氧血症的发生需要紧急支气管镜检查与未患此综合征的患者相比，未患此症状的患者分别显着高于[2/14（14％）和0/51]; p <0.05（两尾费舍尔精确检验）。另外，我认为，导致3％的患者发生严重的低氧血症（SaO_2 <60％）并需要紧急支气管镜进行气管内O_2吹入的手术很难被认为是安全的。根据最近的一项调查[2]，2008年在36个国家/地区进行了约350,000例减肥手术;在这些患者中（如作者推荐），在Kuper等人描述的情况下进行系统的术前内镜检查。会使10,000人面临医源性并发症的风险。

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