title: [Therapy for obesity--conservative and/or surgical?].
abstract: On comparing surgical and conservative approaches in therapy for obesity it is accepted that there is a more rapid decline in body weight after surgery than by conservative measures. In contrast to widespread convictions, it has been shown that even in extreme obesity (BMI>60 kg/m²) both a meaningful and a long-lasting reduction of body weight is possible by conservative approach. There is an increasing body of evidence that bariatric surgery, especially malabsorptive and combined forms, causes endocrine disturbances and both vitamin and micronutrient deficiencies. Furthermore, alterations in drug pharmacokinetics are possible. Even bariatric surgeons have stated that surgery neither removes the chronic disease obesity nor is its final therapy.
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Bayern.
authors.forename: Th
authors.initials: T
authors.lastname: Schubert
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Bayern.
authors.forename: U
authors.initials: U
authors.lastname: Jahn
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Bayern.
authors.forename: E
authors.initials: E
authors.lastname: Eben
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Bayern.
authors.forename: H J
authors.initials: HJ
authors.lastname: Deuber
mesh_terms: D019440:Anti-Obesity Agents / Q000009:adverse effects / Q000627:therapeutic use*; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods*; D004035:Diet Therapy / Q000009:adverse effects / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D009748:Nutrition Disorders / Q000209:etiology* / Q000517:prevention & control; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D019440:Anti-Obesity Agents