Surgical treatment of morbid obesity
Abstract
Background: In the article we present a morbid obesity and treatment options. We describe instructions for patients before operation and our results for operation with adjustable band.
Patients and methods: Between May and December 2005 we operated 10 morbidly obese patients, 7 female and 3 male, aged 23 to 56, body mass index (BMI) between 38 and 48.5 (laparoscopically inserted adjustable band). Two had comorbidity (diabetes).
Results: We followed the patients’ status between 1 and 8 months. They reduced their body weight from 5 to 28 kg, on average 4.3 kg per month.
Conclusions: Bariatric surgery is successful method for morbid obesity treatment. It demands multidisciplinary approach. Beside surgeon, endocrinologist, gastroenterologist, psychologist and others take part in the decision for the operation. During subsequent treatment dietetics and general physician play an important role.
Downloads
References
Barnet D, et al. Guidance on the use of surgery to aid wight reduction for people with morbid obesity. National Institute for clinical excellence. No. 46. 2002 Jul.
Salameh JR. Bariatric Surgery: past and present. Am J Med Sci 2006; 331: 194–200.
Pleskovič A. Bariatrična kirurgija. In: Omejc M, Repše S. Kirurgija želodca – standardi in novosti. Zbornik simpozija kirurške šole; 2005 Okt, Ljubljana, Slovenija. Ljubljana: Klinični oddelek za abdominalno kirurgijo, 2005.
Buchvald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery. JAMA 2004; 292: 1724–37.
Cellen W, Waeder J, Cordon A, Van Renterghem K, Hesse U, El Malt M, Pattin P. Surgical treatment of severe obesity. Ann Surg 237: 10–6.
Steffen R, Biertho L, Ricklin T, Piec G, Horber F. Laparoscopic SAGB: A five-year prospective study. Obesity Surgery 13: 404– 11.
Miller K. Laparoscopic bariatric surgery in the treatment of morbid obesity. Endoscopic Rev 2005; 10:
Christ-Crain M, Stoeckli R, Ernst A, Morgenthaler NG, Bilz S, Korbonits et al. Effect of gastric bypass and gastric banding on proneurotensin levels in morbidly obese patients. J Clin Endocrinol Metab 2006; Epub ahead of print.
Colquitt J, Clegg A, Sidhu M, Royle P. Surgery for morbid obesity. Cochrane database. Syst Rev 2005; CD003641.
O’Brien PE, Dixon JB, Laurie C, Skinner S, Proietto J, McNeil J, et al. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomised trial. Ann Intern Med 2006; 144: 625–33.
Pontiroli AE, Folli F, Paganelli M, Micheletto G, Pizzocri P, Vedani P, et al. Laparoscopic gastric banding prevents type 2 diabetes and arterial hypertension and induces their remission in morbid obesity: a 4-year case-controlled study. Diabetes Care 2005; 28: 2703–9.
Suter M, Giusti V, Worreth M, Hraief E, Calmes JM. Laparoscopic gastric banding: a prospective, randomised study comparing the lapband and the SAGB: early results. Ann Surg 2005; 241: 55– 62.
Weber M, Müller MK, Michel JM, Belal R, Horber F, Hauser R, Clavien PA. Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as rescue procedure for patients with failed laparoscopic gastric banding. Ann Surg 2003; 238: 827–33.
Ablassmaier B, Opitz I, Jacobi CA, Müller JM. Intra-gastric penetration of an adjustable gastric band. Chirurg 2001; 72: 838–43.
Miller K, Hell E, Lang B, Lengauer E. Gallstone formation prophylaxis after gastric restrictive procedures for weight loss: a randomized double-blind placebo-controlled trial. Ann Surg 2003; 238: 697–702.
Kiewiet RM, Durian MF, Van Lersum M, Hesp FL, Van Vliet AC. Gallstone formation after weight loss following gastric banding in morbidly obese Dutch patients. Obes Surg 2006; 16: 592–6.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
