title: [Bariatric surgery: surgical techniques and their complications].
abstract: Bariatric surgery is the only treatment permitting significant and long lasting results for patients suffering from morbid obesity. Indications are BMI>40 kg/m(2) or BMI >35 kg/m(2) associated with one or multiples comorbidities. In all cases, a multidisciplinary approach is required. Laparoscopic surgery because of its mini-invasive nature is a significant improvement for early and late postoperative courses. Adjustable gastric banding, gastric by-pass, sleeve gastrectomy, bilio-pancreatic diversions are in this order the most frequent bariatric procedures performed in France. Severe and early surgical complications are dominated by occlusions and anastomotic leakages. Late complications are dominated by small bowel occlusions. Early medical complications are thrombo-embolism manifestations. Late medical complications are vitamin and trace elements deficiencies. Severe complications are due to pauci-symptomaticity of patients and their poor clinical status. Every practitioner taking care of these patients have to know all principles, specificity and complications of this kind of surgery.
authors.affiliation: Chirurgie digestive et générale, université Paris Descartes, hôpital Cochin, Assistance publique-Hôpitaux de Paris, 75014 Paris, France.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Thereaux
authors.forename: Nicolas
authors.initials: N
authors.lastname: Veyrie
authors.forename: Nicola
authors.initials: N
authors.lastname: Corigliano
authors.forename: Abdelhalim
authors.initials: A
authors.lastname: Aissat
authors.forename: Stéphane
authors.initials: S
authors.lastname: Servajean
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Bouillot
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*