Les Contre-Indications de la Chirurgie Bariatrique

Detalhes bibliográficos
Autor(a) principal: Msika, S.
Data de Publicação: 2008
Outros Autores: Coupaye, M.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spcir.com/index.php/spcir/article/view/247
Resumo: Contra indications to bariatric surgery are numerous and must be recognized under penalty of failure of this surgery. Psychiatric diseases pro fit as well as possible from a precise and repeated evaluation; they lead to many contraindications however not always final; the addictions (alcoholism and drug-addiction) are clearly contraindications; gastro-esophageal reflux is a relative contra indication to certain types of restrictive procedures but gastro-enterologic morphological explorations make it possible to discuss on a case-by-case basis; the age rep resents a relative contra indication particularly to the extrems: for the adolescent, the surgery remains still debatable, but evolutions are awaited; for a patient older than 60, it is the analysis of the benefit report/ratio risks which makes it possible to decide. Abdominal pathologies, such as inflammatory bowel diseases, which are bigger contraindications to gastric bypass, or antecedents of abdominal surgery, are situations that must be discussed in a precise way, at best within a multidisciplinary team invested in a global take over of obesity.Keywords: Bariatric surgery, Contraindications, Psychiatric diseases, Gastro-esophageal reflux, Gastric bypass, Gastric banding
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spelling Les Contre-Indications de la Chirurgie BariatriqueLes Contre-Indications de la Chirurgie BariatriqueContra indications to bariatric surgery are numerous and must be recognized under penalty of failure of this surgery. Psychiatric diseases pro fit as well as possible from a precise and repeated evaluation; they lead to many contraindications however not always final; the addictions (alcoholism and drug-addiction) are clearly contraindications; gastro-esophageal reflux is a relative contra indication to certain types of restrictive procedures but gastro-enterologic morphological explorations make it possible to discuss on a case-by-case basis; the age rep resents a relative contra indication particularly to the extrems: for the adolescent, the surgery remains still debatable, but evolutions are awaited; for a patient older than 60, it is the analysis of the benefit report/ratio risks which makes it possible to decide. Abdominal pathologies, such as inflammatory bowel diseases, which are bigger contraindications to gastric bypass, or antecedents of abdominal surgery, are situations that must be discussed in a precise way, at best within a multidisciplinary team invested in a global take over of obesity.Keywords: Bariatric surgery, Contraindications, Psychiatric diseases, Gastro-esophageal reflux, Gastric bypass, Gastric bandingLes contre-indications à la chirurgie bariatrique sont nombreuses et doivent être reconnues sous peine d’échec de cette chirurgie. Les pathologies psychiatriques bénéficient au mieux d’une évaluation précise et répétée; elles conduisent à des contre-indications nombreuses mais qui ne sont pas toujours définitives; les addictions (alcoolisme et toxicomanie) sont des contre-indications claires; le reflux gastro-œsophagien est une contreindication relative à certains types d’interventions en particulier restrictive, mais les explorations morphologiques gastro-entérologiques permettent de discuter au cas par cas; l’âge représente une contre-indication relative aux extrémités: chez l’adolescent, la chirurgie reste encore discutable, mais des évolutions sont attendues; chez le sujet de plus de 60 ans, c’est l’analyse du rapport bénéfice/risque qui permet de décider. Les pathologies abdominales, qu’il s’agisse de maladies inflammatoires du tube digestif, qui sont plus des contre-indications à une chirurgie de type court-circuit gastrique, ou qu’il s’agisse d’antécédents de chirurgie abdominale, doivent faire peser le geste opératoire avec attention. Toutes ces situations doivent être discutées de façon précise, au mieux au sein d’une équipe pluridisciplinaire de prise en charge globale de l’obésité. Sociedade Portuguesa de Cirurgia2008-09-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/247Revista Portuguesa de Cirurgia; No 6 (2008): Setembro 2008 - II Série; 27-32Revista Portuguesa de Cirurgia; No 6 (2008): Setembro 2008 - II Série; 27-322183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/247https://revista.spcir.com/index.php/spcir/article/view/247/246Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessMsika, S.Coupaye, M.2024-03-14T22:04:47Zoai:revista.spcir.com:article/247Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:43.556968Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Les Contre-Indications de la Chirurgie Bariatrique
Les Contre-Indications de la Chirurgie Bariatrique
title Les Contre-Indications de la Chirurgie Bariatrique
spellingShingle Les Contre-Indications de la Chirurgie Bariatrique
Msika, S.
title_short Les Contre-Indications de la Chirurgie Bariatrique
title_full Les Contre-Indications de la Chirurgie Bariatrique
title_fullStr Les Contre-Indications de la Chirurgie Bariatrique
title_full_unstemmed Les Contre-Indications de la Chirurgie Bariatrique
title_sort Les Contre-Indications de la Chirurgie Bariatrique
author Msika, S.
author_facet Msika, S.
Coupaye, M.
author_role author
author2 Coupaye, M.
author2_role author
dc.contributor.author.fl_str_mv Msika, S.
Coupaye, M.
description Contra indications to bariatric surgery are numerous and must be recognized under penalty of failure of this surgery. Psychiatric diseases pro fit as well as possible from a precise and repeated evaluation; they lead to many contraindications however not always final; the addictions (alcoholism and drug-addiction) are clearly contraindications; gastro-esophageal reflux is a relative contra indication to certain types of restrictive procedures but gastro-enterologic morphological explorations make it possible to discuss on a case-by-case basis; the age rep resents a relative contra indication particularly to the extrems: for the adolescent, the surgery remains still debatable, but evolutions are awaited; for a patient older than 60, it is the analysis of the benefit report/ratio risks which makes it possible to decide. Abdominal pathologies, such as inflammatory bowel diseases, which are bigger contraindications to gastric bypass, or antecedents of abdominal surgery, are situations that must be discussed in a precise way, at best within a multidisciplinary team invested in a global take over of obesity.Keywords: Bariatric surgery, Contraindications, Psychiatric diseases, Gastro-esophageal reflux, Gastric bypass, Gastric banding
publishDate 2008
dc.date.none.fl_str_mv 2008-09-27
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/247
url https://revista.spcir.com/index.php/spcir/article/view/247
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/247
https://revista.spcir.com/index.php/spcir/article/view/247/246
dc.rights.driver.fl_str_mv Copyright (c) 2016 Revista Portuguesa de Cirurgia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Revista Portuguesa de Cirurgia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
dc.source.none.fl_str_mv Revista Portuguesa de Cirurgia; No 6 (2008): Setembro 2008 - II Série; 27-32
Revista Portuguesa de Cirurgia; No 6 (2008): Setembro 2008 - II Série; 27-32
2183-1165
1646-6918
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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