Surgical management of obesity.

Bariatric surgery Cardiovascular diseases Gastrectomy Gastric bypass Metabolic diseases Obesity Postoperative complications Weight loss

Journal

Metabolism: clinical and experimental
ISSN: 1532-8600
Titre abrégé: Metabolism
Pays: United States
ID NLM: 0375267

Informations de publication

Date de publication:
03 2019
Historique:
received: 14 09 2018
revised: 12 12 2018
accepted: 14 12 2018
pubmed: 24 12 2018
medline: 26 11 2019
entrez: 22 12 2018
Statut: ppublish

Résumé

Weight loss surgery is the most effective intervention for addressing obesity and related metabolic disorders such as diabetes. We describe common surgical procedures as well as emerging and investigational procedures in terms of their capacity to induce weight reduction and their risk profiles. We then discuss the impact of weight loss surgery on important obesity related disorders including diabetes, cardiovascular disease, and non-alcoholic fatty liver disease. The question of operative choice is discussed with respect to benefits and risks of common procedures. Reoperative weight loss surgery, an increasingly common element of weight loss surgical practice, is reviewed. We briefly discuss the metabolic mechanism of action of weight loss surgery. Lack of access to and under-utilization of weight loss surgery represent important challenges to adequate obesity treatment, and we review these topics as well.

Identifiants

pubmed: 30576688
pii: S0026-0495(18)30256-7
doi: 10.1016/j.metabol.2018.12.002
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

206-216

Informations de copyright

Copyright © 2018. Published by Elsevier Inc.

Auteurs

Jacob Nudel (J)

Department of Surgery, Boston University School of Medicine, Boston, MA, United States of America; Institute for Health System Innovation and Policy, Boston University, Boston, MA, United States of America.

Vivian M Sanchez (VM)

Department of Surgery, Boston University School of Medicine, Boston, MA, United States of America; Department of Surgery, VA Boston Healthcare System, Boston, MA, United States of America. Electronic address: vivian.sanchez@va.gov.

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Classifications MeSH