[Surgical treatment of morbid obesity: the nutritionist's point of view].
Due to the consequences of pathological obesity on morbidity and mortality, the weight problems of such patients need to be treated energetically. It is legitimate to consider surgical treatment following repeated failure of medical management. Due to its potential consequences on the patient's nutritional status and lifestyle, obesity surgery can only be performed by complying with strict selection criteria and by using the least aggressive techniques, i.e. gastroplasty. A new technique, gastric cerclage, appears to be promising in this context more. Because of the risk of weight resumption after the operation, surgery must be integrated into a more global approach, essentially based on nutrition, psychotherapy and physical activity.
Fricker
J
J
Service de Nutrition, Hôpital Bichat, Paris.
D004038:Diet, Reducing; D006801:Humans; D009747:Nutritional Physiological Phenomena; D018529:Nutritional Support; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery* / Q000628:therapy; D018579:Patient Selection