Nonsurgical and surgical treatment of obesity.
An increasing number of morbidly obese patients are presenting for surgery, with the potential for increased perioperative morbidity and mortality. This article reviews surgical and nonsurgical options in the management of morbidly obese patients. Overweight and obese individuals should be treated with diet, exercise, and behavioral therapy. The failure of this approach is an indication for pharmacologic therapy. Bariatric surgery reduces obesity-related complications and reduces long-term morbidity, mortality, and health care resources use.
Neligan
Patrick J
PJ
Department of Anesthesia, University of Pennsylvania School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA. neliganp@uphs.upenn.edu
Williams
Noël
N
D000713:Anastomosis, Roux-en-Y / Q000379:methods; D049088:Bariatrics / Q000379:methods*; D001521:Behavior Therapy / Q000379:methods; D015904:Biliopancreatic Diversion / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D009765:Obesity / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods