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Treatment of Obesity: Weight Loss and Bariatric Surgery

Bariatric surgery is a type of surgery that is performed on people who are seriously ill. Weight loss can be achieved by reducing the size of the stomach and the tumor group, or by removing a part of the stomach (hand gastrectomy, biliopancreatic or duodenal switch) or by cutting and small bowel resection with small abdominal pouches (abdominal bypass surgery).

The main purpose of bariatric surgery for achieving weight loss is the conclusion that obesity is a disease associated with many negative health effects that can be reversed or improved through the success of weight loss in patients who are unable to maintain weight loss. non-surgical method. It also helps reduce cardiovascular disease (CVD) as well as other expected benefits of this intervention. A major benefit of weight loss is related to the reduction of co-morbidities, quality of life and overall mortality.

Specific criteria established by the NIH consensus group indicate that bariatric surgery is appropriate for all patients with a BMI (kg/m2) > 40 and for patients with a BMI of 35-40 and associated comorbid conditions. These standards have remained in place for many years, although special indications for bariatric/metabolic surgery intervention have been recognized for those who are less overweight, such as people with a BMI of 30-35 and type 2 diabetes. Indications for bariatric surgery are evolving rapidly considering the presence or absence of comorbid conditions including obesity severity, as indicated by BMI.

Specific Bariatric Surgery Procedures include Roux-en-Y Gastric Bypass (RYGB), Gastrectomy Sleeve, Biliopancreatic diversion with duodenal switch, Implantation of Devices (including Adjustable Gastric Banding, Intermittent vagal blockade, Gastrointestinal Endoscopic Devices).

The Bariatric surgery community has made many changes to improve this safety record. It includes identifying the importance of the doctor’s expertise and experience, establishing procedures, methods of care, and quality programs and integrating all these aspects of care into the accreditation program of centers. The transition to the laparoscopic technique occurred in the same period and contributed to improved safety.

Weight loss after bariatric surgery has been studied and reported in the short and long term after all surgical procedures have been performed, since weight loss is the primary goal of bariatric surgery. The same is true for weight loss. It is important to identify the magnitude of the difference in weight loss following conventional management methods such as RYGB and Laparoscopic Adjustable Gastric Banding (LAGB).

The main benefit of weight loss, whether medical or surgical, is related to the reduction of co-morbidities, quality of life and all-cause mortality. Despite the importance of assessing these risks and the opportunity to implement effective medical management with variable success, surgery has been shown to be preferable.

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