The Surgical Management of Obesity

Gastroenterol Clin North Am. 2016 Dec;45(4):689-703. doi: 10.1016/j.gtc.2016.07.006.

Abstract

In the United States, more than one-third of the population is obese. Currently, bariatric surgery is the best known treatment for obesity, and multiple meta-analyses have shown bariatric surgery to be more effective for treating obesity than diet and exercise or pharmacologic treatment. The modern era of bariatric surgery began in 2005, which is defined by a drastic increase in the use of laparoscopy. Bariatric surgery has the potential to improve obesity-related comorbidities, such as type 2 diabetes, cardiovascular disease, and sleep apnea. The effect of bariatric surgery on weight loss and comorbidities varies by the type of procedure.

Keywords: Bariatric surgery; Diabetes; Gastric bypass; Lap band; Sleeve gastrectomy; Weight loss.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery / methods*
  • Bariatric Surgery / mortality
  • Diabetes Mellitus, Type 2 / etiology
  • Diabetes Mellitus, Type 2 / surgery
  • Digestive System Diseases / etiology
  • Digestive System Diseases / surgery
  • Female
  • Humans
  • Malnutrition / diagnosis
  • Malnutrition / etiology
  • Malnutrition / therapy
  • Metabolic Syndrome / etiology
  • Metabolic Syndrome / surgery
  • Obesity / complications
  • Obesity / mortality
  • Obesity / surgery*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy
  • Pregnancy
  • Pregnancy Complications / surgery
  • Treatment Outcome
  • Weight Loss