{"title":"Surgical management of obesity.","authors":"Jay B Prystowsky","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Bariatric surgery has undergone significant change in the past several decades. There are now several attractive surgical options for the management of clinically severe obesity (body mass index > 40 kg/m2). Gastric restrictive procedures predominate and have been performed with acceptable complication rates. Long-term weight loss is frequently > 50% excess weight with amelioration of obesity-related illnesses. Laparoscopic approaches are increasingly popular. Patient selection and appropriate follow-up remain challenging aspects of patient care. In summary, bariatric surgery is a reliable option for the surgical management of clinically severe obese patients.</p>","PeriodicalId":79377,"journal":{"name":"Seminars in gastrointestinal disease","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in gastrointestinal disease","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Bariatric surgery has undergone significant change in the past several decades. There are now several attractive surgical options for the management of clinically severe obesity (body mass index > 40 kg/m2). Gastric restrictive procedures predominate and have been performed with acceptable complication rates. Long-term weight loss is frequently > 50% excess weight with amelioration of obesity-related illnesses. Laparoscopic approaches are increasingly popular. Patient selection and appropriate follow-up remain challenging aspects of patient care. In summary, bariatric surgery is a reliable option for the surgical management of clinically severe obese patients.