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Bariatric surgery for obesity and metabolic conditions in adults

This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remi...

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Detalles Bibliográficos
Autores principales: Arterburn, David E, Courcoulas, Anita P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group Ltd. 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707708/
https://www.ncbi.nlm.nih.gov/pubmed/25164369
http://dx.doi.org/10.1136/bmj.g3961
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author Arterburn, David E
Courcoulas, Anita P
author_facet Arterburn, David E
Courcoulas, Anita P
author_sort Arterburn, David E
collection PubMed
description This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remission of type 2 diabetes. Observational studies have linked bariatric procedures with long term improvements in body weight, type 2 diabetes, survival, cardiovascular events, incident cancer, and quality of life. Perioperative mortality for the average patient is low but varies greatly across subgroups. The incidence of major complications after surgery also varies widely, and emerging data show that some procedures are associated with a greater risk of substance misuse disorders, suicide, and nutritional deficiencies. More research is needed to enable long term outcomes to be compared across various procedures and subpopulations, and to identify those most likely to benefit from surgical intervention. Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process.
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spelling pubmed-47077082016-01-13 Bariatric surgery for obesity and metabolic conditions in adults Arterburn, David E Courcoulas, Anita P BMJ Clinical Review This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remission of type 2 diabetes. Observational studies have linked bariatric procedures with long term improvements in body weight, type 2 diabetes, survival, cardiovascular events, incident cancer, and quality of life. Perioperative mortality for the average patient is low but varies greatly across subgroups. The incidence of major complications after surgery also varies widely, and emerging data show that some procedures are associated with a greater risk of substance misuse disorders, suicide, and nutritional deficiencies. More research is needed to enable long term outcomes to be compared across various procedures and subpopulations, and to identify those most likely to benefit from surgical intervention. Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process. BMJ Publishing Group Ltd. 2014-08-27 /pmc/articles/PMC4707708/ /pubmed/25164369 http://dx.doi.org/10.1136/bmj.g3961 Text en © BMJ Publishing Group Ltd 2014
spellingShingle Clinical Review
Arterburn, David E
Courcoulas, Anita P
Bariatric surgery for obesity and metabolic conditions in adults
title Bariatric surgery for obesity and metabolic conditions in adults
title_full Bariatric surgery for obesity and metabolic conditions in adults
title_fullStr Bariatric surgery for obesity and metabolic conditions in adults
title_full_unstemmed Bariatric surgery for obesity and metabolic conditions in adults
title_short Bariatric surgery for obesity and metabolic conditions in adults
title_sort bariatric surgery for obesity and metabolic conditions in adults
topic Clinical Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707708/
https://www.ncbi.nlm.nih.gov/pubmed/25164369
http://dx.doi.org/10.1136/bmj.g3961
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