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Surgical Management of Obesity: A Review of the Evidence Relating to the Health Benefits and Risks
Abstract
Obesity continues to plague our society in epidemic proportions. Surgery for morbid obesity is considered by many as the most effective therapy for this complex disorder. Today, multiple surgical procedures for the treatment of obesity are available. As with most procedures, there are benefits and risks associated with open and laparoscopic gastric bypass surgery, as well as with laparoscopic adjustable gastric banding and partial biliopancreatic bypass with a duodenal switch. The risks and complications associated with bariatric surgery may be serious and in some cases life threatening. However, surgery for obesity has shown remarkable results in helping patients to achieve significant long-term weight control. In addition, it is associated with improvement and often resolution of co-morbid conditions, including type 2 diabetes mellitus, systemic hypertension, obesity hypoventilation, sleep apnea, venous stasis disease, pseudotumor cerebri, polycystic ovary syndrome, complications of pregnancy and delivery, gastroesophageal reflux disease, stress urinary incontinence, degenerative joint disease, and non-alcoholic steatohepatitis.
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“Many studies have shown that weight loss improves blood pressure, diabetes, sleep apnea, hyperlipidemia, and sympathetic/parasympathetic tone (196, 284, 324, 365).”
From Cardiac remodeling in obesity (2008) · cites this paper as [196]
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Self-citation
Metadata
- Authors
- Lara, M. D., Kothari, S. N., & Sugerman, H. J.
- Affiliations
- Gundersen Lutheran Hospital (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Kothari, Shanu N
- ORCID
- Kothari, Shanu N
- Venue
- Treatments in Endocrinology
- Published
- 2005
- Volume
- 4
- Issue
- 1
- Pages
- 55-64
- ISSN
- 1175-6349 (ISSN-L)
- OpenAlex
- W96084677
- Cited by
- 107
- References
- 129
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2020: 1 · 2019: 3 · 2018: 6 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 7
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Treatments in Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- bariatric surgery, morbid obesity, laparoscopic gastric bypass, laparoscopic adjustable gastric banding, duodenal switch, biliopancreatic diversion, surgical complications, weight loss, comorbidity resolution, type 2 diabetes, obesity hypoventilation syndrome, sleep apnea, polycystic ovary syndrome, gastroesophageal reflux disease, nonalcoholic steatohepatitis
- MeSH terms
- Asthma, Diabetes Mellitus, Type 2, Female, Gastroesophageal Reflux, Health Promotion, Humans, Hyperlipidemias, Hypertension, Joint Diseases, Liver Diseases, Obesity, Laparoscopy, Pregnancy, Risk Factors, Sleep Apnea Syndromes, Urinary Incontinence, Stress, Gastric Bypass, Weight Loss
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