title: [Surgical options for reducing body weight].
abstract: Obesity is a leading preventable cause of death worldwide, with increasing prevalence in adults and children, and authorities view it as one of the most serious public health problems of the 21st century. Sixty-two percent of the Hungarian adult population has overweight and 27% is morbidly obese and, therefore, it is a significant interest to treat this condition. The authors review the diagnosis and the associated diseases of morbid obesity. The initial enthusiasm with the gastric band has settled now, as the long-term outcome showed only very limited reduction in the excess body weight and the complication rate was as high as 50%. The sleeve gastrectomy may induce 60-70% of excess weight loss, however, the long term follow-up data is very limited. The Roux-en-Y gastric bypass is the gold-standard of the bariatric procedures, with proven 60-75% excess weight loss and 80% type 2 diabetes remission. The body image usually changes with weight loss, and frequently a body contouring procedure is required to improve it. Multi-disciplinary team of super-specialised doctors is required to perform these procedures.
authors.affiliation: Royal Derby Hospital, Derby Bariatric Surgery Department Uttoxeter Road Derby DE22 3NE Egyesült Királyság BodyContour Clinic London-Budapest.
authors.forename: Péter
authors.initials: P
authors.lastname: Vasas
authors.affiliation: Perfect-Form Kft. Budapest BodyContour Clinic London-Budapest.
authors.forename: Ferenc
authors.initials: F
authors.lastname: Pór
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods* / Q000592:standards / Q000639:trends; D001828:Body Image; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005743:Gastrectomy / Q000379:methods; D015390:Gastric Bypass / Q000379:methods; D015391:Gastroplasty / Q000379:methods; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D010348:Patient Care Team; D013518:Surgery, Plastic; D016896:Treatment Outcome; D015431:Weight Loss
keywords: 2-es típusú cukorbetegség; alakformázó műtét; bariatric surgery; body contouring; elhízás; gastric bypass; gyomorbypass; metabolic surgery; obesity; sleeve gastrectomia; sleeve gastrectomy; testsúlycsökkentő műtét; weight loss surgery