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Abdominalkirurgisk behandling af ekstrem overvægt


Aide Schucany1, Frederik Helgstrand2 & Sara Danshøj Kristensen2

1) Gastroenheden, Københavns Universitetshospital – Hvidovre Hospital, 2) Kirurgisk Afdeling, Sjællands Universitetshospital, Køge

Ugeskr Læger 2021;183:V11200868

Abdominal surgical treatment of extreme obesity in Denmark

Aide Schucany, Frederik Helgstrand & Sara Danshøj Kristensen

Ugeskr Læger 2021;183:V11200868

Increasing overweight is a rising issue worldwide. In 2017, 17% of the Danish population had a body mass index (BMI) > 40 kg/m2 also defined as extreme obesity. Bariatric surgery is the most effective long-term treatment and the status in Denmark is summarized in this review. The most common procedures are Roux-en-Y-gastric bypass and gastric sleeve which have led to excess weight loss (EWL) up to 70%. Regardless of these results, the increasing BMI presents a problem both technically and in regard to achieving a BMI within normal range. In preliminary studies Single anastomosis sleeve ileal bypass (SASI) has shown an EWL of up to 90% and a high resolution of diabetes 2. SASI may be the future of bariatric surgery in the super obese patients.

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