Factors in selecting the optimal bariatric procedure for a specific patient and parameters by which to measure appropriate response to surgery.
Bariatric operations are increasingly being used to induce weight loss and ameliorate or cure most of the morbidities that accompany obesity. These procedures not only produce substantial weight loss (>50% body weight), but they cure or ameliorate the comorbidities (diabetes type 2, hypertension, sleep apnea, hyperlipidemia) in the vast majority of patients. These procedures can usually be performed laparoscopically with a mortality of less than 0.5% and a hospital stay of 1 to 3 days. Presently they are the only effective treatment for weight loss in the extremely obese patient (body mass index >/= 35).
Deveney
Clifford W
CW
Division of General Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, L223A, Portland, OR 97239, USA. deveneyc@ohsu.edu
Martindale
Robert G
RG
D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D015904:Biliopancreatic Diversion; D015992:Body Mass Index; D006801:Humans; D010535:Laparoscopy; D009017:Morbidity; D009767:Obesity, Morbid / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D018579:Patient Selection; D011183:Postoperative Complications; D016896:Treatment Outcome; D015431:Weight Loss