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- W2026774410 abstract "Abstract Obesity is an increasing problem worldwide. Dieting and available medications are relatively ineffective, especially for the morbidly obese. However, bariatric surgery has been shown to provide long lasting reduction of obesity related non-insulin dependent diabetes mellitus, hypertension and hyperlipidaemia. Furthermore, longevity was improved. Motivated patients of BMI greater than 40 (or 35 with co-morbidities) can be considered for surgery. Procedures are categorized as restrictive, reducing dietary intake, and malabsorptive, resulting in reduced nutrient absorption. Weight loss usually continues for 2 years after which it will plateau. Average excess weight loss is 40−70%. Most studies suggest better results for malabsorptive procedures, however, these carry a greater mortality risk than simpler restrictive procedures. Laparoscopic surgery has significantly reduced peri-operative morbidity but, in the morbidly obese, both surgery and anaesthesia remain challenging. The major cause of operative mortality is pulmonary thromboembolism and anti-coagulant prophylaxis is imperative. After surgery a proportion of patients may require plastic surgery to excess skin folds. Demand for bariatric surgery is likely to increase with growing evidence showing benefits for both patients and society as a whole." @default.
- W2026774410 created "2016-06-24" @default.
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- W2026774410 date "2006-12-01" @default.
- W2026774410 modified "2023-09-25" @default.
- W2026774410 title "Surgery for obesity" @default.
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- W2026774410 doi "https://doi.org/10.1053/j.mpmed.2006.09.013" @default.
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