The Development of the Surgical Treatment of Morbid Obesity

Deitel, Mervyn; Shikora, Scott A.

doi:10.1080/07315724.2002.10719237

Cited by 98 publications

(41 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although weight loss was considerable, patients suffered from serious complications, such as protein malnutrition, oxalate nephrolithiasis, metabolic bone disease, vitamin deficiencies, and, in the most severe cases, hepatic failure. 31 The complications were thought to be caused by bacterial overgrowth in the relatively long-blind loop created by the JIB. The RYGB is the most frequently carried out bariatric operation.…”

Section: Bariatric Operationsmentioning

confidence: 99%

The mechanisms of weight loss after bariatric surgery

Tadross

Roux

2009

Int J Obes

View full text Add to dashboard Cite

Studies of lifestyle advice and dietary intervention show that although moderate, clinically significant weight loss is achievable and results in concomitant improvements in comorbidities, it is invariably transient and recidivism is almost universal. Pharmacotherapeutic options do show promise but are currently inadequate to address many obesity-associated comorbidities. Bariatric surgery consistently results in considerable improvement in weight, alongside a remarkable amelioration in comorbid conditions. Here we describe the physiology of energy balance and the putative mechanisms of change in weight set point following bariatric surgical procedures such as Roux-en-Y gastric bypass and adjustable gastric banding.

show abstract

Section: Bariatric Operationsmentioning

confidence: 99%

The mechanisms of weight loss after bariatric surgery

Tadross

Roux

2009

Int J Obes

View full text Add to dashboard Cite

show abstract

“…Contrarily to conventional treatment involving dieting and physical exercising, often ineffective in generating long term results (10) , bariatric operations have been an effective method for sustained weight loss in morbidly obese individuals (2,7,9) .…”

Section: Application Of Baros' Questionnaire In Obese Patients Undergmentioning

confidence: 99%

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Queiroz¹,

Sallet

Silva³

et al. 2017

Arq. Gastroenterol.

View full text Add to dashboard Cite

-Background -In recent decades, the high prevalence of obesity in the general population has brought serious concerns in terms of public health. Contrarily to conventional treatment involving dieting and physical exercising, often ineffective in generating long term results, bariatric operations have been an effective method for sustained weight loss in morbidly obese individuals. The Bariatric Analysis and Reporting Outcome System (BAROS) is an objective and recognized system in the overall evaluation of results after bariatric surgery. Objective -To investigate results concerning a casuistic of morbidly obese patients undergoing bariatric surgery over a 2-year follow-up in terms of weight loss, related medical conditions, safety and changes in quality of life. Methods -A total of 120 obese (17 male and 103 female) patients, who underwent bariatric surgery, were assessed and investigated using the BAROS system after a 2-year follow-up. Results -Patients obtained a mean excess weight loss of 74.6 (±15.9) % and mean body mass index reduction of 15.6 (±4.4) Kg/m 2 . Pre-surgical comorbidities were present in 71 (59%) subjects and they were totally (86%) or partially (14%) resolved. Complications resulting specifically from the surgical procedure were observed in 4.2% of cases (two bowel obstructions requiring re-operation, and three stomal stenosis treated with endoscopic dilation). Sixteen subjects (13% of total number of patients) presented minor clinical complications managed through outpatient care. The final scores for the BAROS questionnaire showcased excellent to good results in 99% of cases (excellent 44%, very good 38%, good 23%, acceptable 1%). Conclusion -According to the BAROS questionnaire, bariatric surgery is a safe and effective method for managing obesity and associated clinical comorbidities, allowing for satisfactory results after a 2-year follow-up. Future studies should address other clinical and psychosocial variables that impact outcome as well as allow for longer follow-ups. HEADINGS -Morbid obesity. Bariatric surgery. Body weight. Quality of life.Declared conflict of interest of all authors: none Disclosure of funding: no funding received

show abstract

“…Despite encouraging results coming from morbidly obese adults who underwent surgical procedures, [4][5][6] very few reports are published in adolescents with extreme obesity. [7][8][9][10] On the other hand, adolescents with extreme forms of obesity are at high risk of maintaining severe obesity as adults 11 and furthermore their risk for later diseases and reduced life expectancy is highly increased.…”

Section: Introductionmentioning

confidence: 99%

Adjustable gastric banding surgery in morbidly obese adolescents: experiences with eight patients

2004

View full text Add to dashboard Cite

BACKGROUND: Excessive obesity in children and adolescents is increasing in western countries all over the world. Treatment of those young subjects is extremely difficult. In cases who do not respond in any regard to conservative treatment regimens, it is worthwhile to also offer bariatric surgical procedures. METHODS: In eight young subjects with a mean age of 16.071.3 y, mean BMI 49.175.2 who where totally resistant against different therapeutic regimens, we performed adjustable laparoscopic banding surgery. Psychological tests were carried out to find out if there were any psychological disturbances. In all patients, the depression inventory for adolescents (DIKJ) and clinical interviews were carried out. RESULTS: No complications were seen; mean follow-up of 10.576.0 months showed a weight loss of 2576.5 kg. All adolescents felt for the first time that it was possible to lose weight and were very happy about their body attitude. They were able to adhere to a strict dietary regimen, which allowed them to eat without any hunger problems. It was observed that most of these patients have depressive symptoms and a very low self-esteem. Some patients suffer from nervous anxiety, poor peer acceptance, less athletic competence or forms of victimisation too. CONCLUSIONS: From these results, we conclude that laparoscopic gastric banding surgery seems to be a method that could be offered to morbidly obese adolescents. However, long-term follow-up is essential and psychological problems should be carefully studied.

show abstract

The Development of the Surgical Treatment of Morbid Obesity

Cited by 98 publications

References 44 publications

The mechanisms of weight loss after bariatric surgery

The mechanisms of weight loss after bariatric surgery

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Adjustable gastric banding surgery in morbidly obese adolescents: experiences with eight patients

Contact Info

Product

Resources

About