TITLE

Surgical Approaches to Obesity

AUTHOR(S)
Kendrick, Michael L.; Dakin, Gregory F.
PUB. DATE
October 2006
SOURCE
Mayo Clinic Proceedings;Oct2006 Supplement, Vol. 81 Issue 10, pS18
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Bariatric surgery has evolved considerably since the introduction of jejunoileal bypass in the 1950s. With modifications of early procedures, implementation of new techniques, and establishment of minimally invasive approaches, operative intervention has become the mainstay in the treatment of extreme (class III) obesity. The laparoscopic adjustable gastric band technique is the most common purely restrictive procedure. Advantages of the laparoscopic adjustable gastric band include reduced perioperative morbidity and mortality compared to other bariatric procedures, but this procedure has been associated with substantial intermediate and long-term complications. Although vertical banded gastroplasty was associated with decreased perioperative morbidity and acceptable early weight loss, results from long-term follow-up have been discouraging. Roux-en-Y gastric bypass (RYGB) is the most common bariatric procedure performed in the United States because of its effectiveness in long-term weight loss and low rates of serious complications. Modifications of RYGB to induce malabsorption have led to greater weight loss but increased risks of metabolic and nutritional sequelae. Duodenal switch is a malabsorptive procedure associated with excellent weight loss and resolution of weight-related comorbidities, but concerns regarding potential metabolic and nutritional sequelae have limited its widespread use. Laparoscopic approaches to bariatric procedures have reduced wound-related complications and improved patient recovery. However, the incidence of anastomotic leak and internal hernia is higher after laparoscopic RYGB compared to the open approach. Each of the currently available bariatric procedures has both advantages and disadvantages that must be considered in determining which operation should be selected for an individual patient.
ACCESSION #
23254801

 

Related Articles

  • Impact of Sustained Weight Loss Achieved through Roux-en-Y Gastric Bypass or a Lifestyle Intervention on Ghrelin, Obestatin, and Ghrelin/Obestatin Ratio in Morbidly Obese Patients. Martins, Catia; Kjelstrup, Louise; Mostad, Ingrid L.; Kulseng, B�rd // Obesity Surgery;Jun2011, Vol. 21 Issue 6, p751 

    Background: Appetite-regulating hormones seem to play an important role in weight loss after bariatric surgery. Less is known regarding long-term weight loss maintenance. The objective of the study was to evaluate ghrelin and obestatin levels following long-term weight loss achieved through...

  • Lean and Fat Mass Loss in Obese Patients Before and After Roux-en-Y Gastric Bypass: A New Application for Ultrasound Technique. Pereira, A.; Marchini, J.; Carneiro, G.; Arasaki, C.; Zanella, M. // Obesity Surgery;Apr2012, Vol. 22 Issue 4, p597 

    Objective: This study aims to evaluate the thickness of the femoral quadriceps and biceps brachii and brachialis muscles bilaterally and the adjacent subcutaneous fat in patients undergoing gastric bypass Roux-en-Y before and after surgery, using ultrasound as the diagnostic method of choice....

  • Gastric Bypass Does Not Influence Olfactory Function in Obese Patients. Richardson, Brynn; Vanderwoude, Eric; Sudan, Ranjan; Leopold, Donald; Thompson, Jon // Obesity Surgery;Feb2012, Vol. 22 Issue 2, p283 

    Morbidly obese individuals have altered sense of taste and smell. Gastric bypass (GBP) alters taste but olfactory function has not been evaluated. Changes in these senses may influence dietary preferences following GBP. Our aim was to evaluate the effect of abdominal operation, specifically GBP,...

  • Weight Loss, Cardiovascular Risk Factors, and Quality of Life After Gastric Bypass and Duodenal Switch. Søvik, Torgeir T.; Aasheim, Erlend T.; Taha, Osama; Fagerland, Morten W.; Björkman, Sofia; Kristinsson, Jon; Birkeland, Kåre I.; Mala, Tom; Olbers, Torsten // Annals of Internal Medicine;9/6/2011, Vol. 155 Issue 5, p281 

    Background: Gastric bypass and duodenal switch are currently performed bariatric surgical procedures. Uncontrolled studies suggest that duodenal switch induces greater weight loss than gastric bypass. Objective: To determine whether duodenal switch leads to greater weight loss and more favorable...

  • Surgical Treatment of Diabetes. Kuritzky, Louis // Critical Care Alert;Feb2013 Clinical Briefs in Primary Care, p3 

    The article reports that various surgical treatments can be used to reduce the problems caused in type 2 diabetes; Surgery reduces excess body weight which helps in rebalancing the metabolic homeostasis in type 2 diabetes patients.

  • Surgical Treatment of Diabetes.  // Clinical Cardiology Alert;Feb2013 Clinical Briefs in Primary Care, p3 

    The article offers information on the review of type 2 diabetes (DM2) bariatric surgery trials conducted by M. L. Vetter which indicates that weight loss is the primary factor for the remission of DM2.

  • Surgical Treatment of Diabetes. Kuritzky, Louis // Hospital Medicine Alert;Feb2013 Clinical Briefs in Primary Care, Vol. 18 Issue 2, p3 

    The article discusses a study by M.L. Vetter and colleagues on surgical treatment of type 2 diabetes (T2D), which found that bariatric surgery was found to be effective, safe and durable in the treatment of obesity as well as T2D.

  • THIS MONTH'S TECHNIQUE: How to Place and Measure a Preanastomotic Ring. ROSENTHAL, RAUL J.; JONES, DANIEL B. // Bariatric Times;Dec2012, Vol. 9 Issue 12, p8 

    The article offers instructions on how to place and measure a preanastomotic ring, which helps to lose weight effectively. Placing a ring in the gastric bypass enhances the restrictive component of the gastric bypass operation for obesity. Various steps include creation of a vertical gastric...

  • After Massive Weight Loss: Patients' Expectations of Body Contouring Surgery. Kitzinger, Hugo; Abayev, Sara; Pittermann, Anna; Karle, Birgit; Bohdjalian, Arthur; Langer, Felix; Prager, Gerhard; Frey, Manfred // Obesity Surgery;Apr2012, Vol. 22 Issue 4, p544 

    Background: Massive weight loss following bariatric surgery leads to excess skin with functional and aesthetic impairments. Surplus skin can then contribute to problems with additional weight loss or gain. The aims of the current study were to evaluate the frequency of massive soft tissue...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics