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Cited by 301

The DOI matches its Crossref record; 121 of the 121 references it cites were found in a registry or an index.

Surgical treatment of obesity

Bult, Mariëlle J F, van Dalen, Thijs, Muller, Alex F·2008·European Journal of Endocrinology

Abstract

More than half of the European population are overweight (body mass index (BMI) >25 and <30 kg/m 2) and up to 30% are obese (BMI≥30 kg/m 2). Being overweight and obesity are becoming endemic, particularly because of increasing nourishment and a decrease in physical exercise. Insulin resistance, type 2 diabetes, dyslipidemia, hypertension, cholelithiasis, certain forms of cancer, steatosis hepatis, gastroesophageal reflux, obstructive sleep apnea, degenerative joint disease, gout, lower back pain, and polycystic ovary syndrome are all associated with overweight and obesity. The endemic extent of overweight and obesity with its associated comorbidities has led to the development of therapies aimed at weight loss. The long-term effects of diet, exercise, and medical therapy on weight are relatively poor. With respect to durable weight reduction, bariatric surgery is the most effective long-term treatment for obesity with the greatest chances for amelioration and even resolution of obesity-associated complications. Recent evidence shows that bariatric surgery for severe obesity is associated with decreased overall mortality. However, serious complications can occur and therefore a careful selection of patients is of utmost importance. Bariatric surgery should at least be considered for all patients with a BMI of more than 40 kg/m 2 and for those with a BMI of more than 35 kg/m 2 with concomitant obesity-related conditions after failure of conventional treatment. The importance of weight loss and results of conventional treatment will be discussed first. Currently used operative treatments for obesity and their effectiveness and complications are described. Proposed criteria for bariatric surgery are given. Also, some attention is devoted to more basic insights that bariatric surgery has provided. Finally we deal with unsolved questions and future directions for research.

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Metadata

Authors
Bult, M. J. F., van Dalen, T., & Muller, A. F.
Venue
European Journal of Endocrinology
Published
2008-02
Volume
158
Issue
2
Pages
135-145
ISSN
  • 0804-4643 (ISSN-L)
  • 1479-683X
OpenAlex
W2112552347
Cited by
301
References
121
FWCI
30.38
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Surgical treatment of obesity. https://app.cochat.ai/papers/10.1530/eje-07-0145
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Bult, M. J. F., van Dalen, T., & Muller, A. F. (2008). Surgical treatment of obesity. European Journal of Endocrinology. https://doi.org/10.1530/eje-07-0145

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