Nursing of the morbidly obese patients treated with laparoscopic vertical banded gastroplasty

VernacularTitle:腹腔镜胃减容术治疗单纯病态肥胖症的围手术期处理
Author: Yue-Feng WU ¹ ; Ping CAO ; Xiao-Li GE ; Chun-Juan ZHOU ; Lian-Qin XU
Author Information

1. Changhai Hospital Second Military Medical University
From: Academic Journal of Second Military Medical University 2001;22(5):478-480
CountryChina
Language:Chinese
Abstract: Objective: To study the nursing of patients with morbid obesity treated with laparoscopic vertical banded gastroplasty (LVBG). Methods: Before operation, obese degree, obesity-related conditions and mental states were examined routinely. Monitoring of respiratory tract, observing operative complications and instructing of diets were done after operation. Results: Among 6 patients, 5 were at the third degree of obese, one was at second. In obesity-related conditions, 4 patients had hypertension and acantha derma, 1 had arthritis, and all had respiratory sleeping syndrome. The operations were all successful. The food amount food and body weight both decreased significantly 1 month after operation. The common operative complications were mild bleeding (1 case), shoulder-back pain (1 case), nausea and vomiting (5 cases). Diet principle was high protein, low energy, liquid food was the first choice. Conclusion: Observing and preventing respiratory sleeping syndrome are the main points of postoperative cares. Instructing patients to establish correct diet habit is the key to reach the best efficacy of LVBG.