[History and pathophysiologic analysis of the various techniques in bariatric surgery].
Bariatric surgery for the treatment of morbid obesity or overweight refractory to medical therapy was born at the beginning of second half of the twentieth century, and its first steps were uncertain and with a not jet well definite purpose. In fact the main result to be pursued seemed to be simply the reduction of body weight, and any change of anatomy of the digestive tract able to reduce the absorbtion of nutrients was judged adequate. But very early the adverse consequences of malabsorption so obtained became evident, and other operations possibly free from those complications were devised and clinically tested. So aside the by-pass operations many other surgical procedures found their room, all of them aiming to fight the ever more diffuse obesity of the people. This historical review of the various surgical procedures attempted in these last sixty years for morbid obesity is very interesting for a better understanding of the problem and to have a solid basis for future rational choices.
Rea
Teresa
T
Università degli studi G. d'Annunzio Chieti, Dipartimento di Scienze Chirurgiche Cliniche e Sperimentali, Presidio Ospedaliero SS. Annunziata-I Divisione Clinicizzata di Chirurgica. reatiziana@virgilio.it
Di Paolo
Sonia
S
Sigismondi
Gianni
G
Tauro
Antonella
A
Strassera
Roberto
R
Picardi
Nicola
N
D050110:Bariatric Surgery / Q000009:adverse effects / Q000266:history / Q000379:methods*; D015975:Consensus Development Conferences, NIH as Topic; D005060:Europe; D015390:Gastric Bypass / Q000379:methods; D015391:Gastroplasty / Q000379:methods; D049673:History, 20th Century; D006801:Humans; D007581:Jejunoileal Bypass / Q000379:methods; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000503:physiopathology* / Q000601:surgery*; D014481:United States