title: [Bariatric surgery - significance, risks, long term consequences].
abstract: In recent years the number of bariatric surgery has markedly increased in industrial nations. Surgery provides a more rapid decrease of body weight than conservative approach. However a long term conservative follow up therapy is mandatory to stabilize reduced weight. Due to increasing knowledge from long term follow up of surgically treated obese patients there is a growing body of evidence that frequently there is necessity of reoperations and of substitution both of trace elementsand of minerals or vitamins due to their hampered enteral resorption. Additionally therapy of surgery induced endocrine alterations not seldom is necessary.These insights are of outstanding importance because meanwhile an enlargement of the indications for bariatric surgery as a therapeutic option for metabolic disorders is being discussed. This review refers to the recent internationally published papers concerning consequences of bariatric surgery.
authors.affiliation: Medi zinischer Dienst der Krankenversicherung (MDK) Bayern, Bamberg.
authors.forename: T
authors.initials: T
authors.lastname: Schubert
authors.forename: U
authors.initials: U
authors.lastname: Jahn
authors.forename: E
authors.initials: E
authors.lastname: Eben
authors.forename: H J
authors.initials: HJ
authors.lastname: Deuber
mesh_terms: D000359:Aftercare / Q000379:methods; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D015992:Body Mass Index; D003299:Cooperative Behavior; D003677:Deficiency Diseases / Q000209:etiology / Q000401:mortality / Q000628:therapy; D004038:Diet, Reducing; D015444:Exercise; D005500:Follow-Up Studies; D005768:Gastrointestinal Hormones / Q000502:physiology; D006305:Health Status Indicators; D006801:Humans; D033183:Interdisciplinary Communication; D007408:Intestinal Absorption / Q000502:physiology; D010348:Patient Care Team; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000601:surgery / Q000628:therapy; D012086:Reoperation; D015431:Weight Loss / Q000502:physiology
chemical_list: D005768:Gastrointestinal Hormones