title: Comparative study of five different surgical techniques for the treatment of morbid obesity using BAROS.
abstract: BACKGROUND
  The obesity is an universal disease of epidemic proportions and in a growing prevalence. It is one of the main public health problems and it will be inexorably the largest problem of the developing world. The morbid obesity is associated to serious diseases, reducing the life perspective, increasing the morbidity and mortality. Several strategies of losing weight were proposed; however, the bariatric surgeries are today the most effective treatment for this disease. The BAROS is the most simple, practical and efficient method to evaluate the results in the bariatric surgeries.
  
  
  OBJECTIVE
  To compare five surgical techniques for the treatment of morbid obesity using BAROS.
  
  
  METHODS
  The sample is constituted of 102 patients submitted to Fobi-Capella (23 patients), Scopinaro (21 patients), duodenal switch (20 patients), vertical banded gastroplasty of Mason (15 patients) and the adjustable gastric band (23 patients), evaluated 12 months after the surgeries using BAROS.
  
  
  RESULTS
  The analysis of the final result of BAROS for the classification demonstrated that good, very good and excellent results were obtained in 100% of the patients in the group of duodenal switch; 91,3% in Fobi-Capella; 85,7% in Scopinaro; 60% in Mason; and 56,5% in adjustable gastric band. The final result of BAROS for the total score demonstrated that the group of duodenal switch obtained 6,3 points; the Fobi-Capella 5,1 points; the Scopinaro 4,8 points; the Mason 3,0 points; and the adjustable gastric band 2,9 points (p<0,0001).
  
  
  CONCLUSIONS
  The duodenal switch is the best technique for the surgical treatment of the morbid obesity, in the following 12 months post-surgical clinical procedures, according to BAROS.
authors.affiliation: Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
authors.forename: João Batista
authors.initials: JB
authors.lastname: Marchesini
authors.affiliation: Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
authors.forename: Jean Ricardo
authors.initials: JR
authors.lastname: Nicareta
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D063868:Patient Outcome Assessment