[Ethical aspects of bariatric surgery].
Attitude to obesity determines the attitude to antiobesity surgery: is obesity a disease among other diseases belonging to the public health care, or a characteristic resulting from living habits, remaining under the person's own responsibility? Antiobesity surgery requires supporting the patients' right to self-determination. Other treatments for obesity should be available, and this procedure necessitating permanent adjustments of living habits requires sufficient advance preparation. The patient's guarantee governing the treatment of obesity as a whole seems relevant. Assessment of the need for surgery is, however, difficult and the benefits and disadvantages differ among the various stakeholders.
Saarni
Samuli I
SI
Terveyden ja hyvinvoinnin laitos, mielenterveysongelmat ja päihdepalvelut ja menetelmien arviointiyksikkö Finohta, PL 30, 00271 Helsinki.
Anttila
Heidi
H
Saarni
Suoma E
SE
Mustajoki
Pertti
P
Koivukangas
Vesa
V
Ikonen
Tuija S
TS
Malmivaara
Antti
A
D050110:Bariatric Surgery / Q000941:ethics*; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*; D026684:Personal Autonomy