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Bariatric Surgery

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Obesity

Abstract

Certain eligible patients with obesity who, because of genetic resettingTM and other reasons, have had little or no success losing significant amounts of weight with traditional management techniques may eventually need to consider the option of undergoing bariatric surgery. Metabolic and bariatric surgery (MBS) reverses the pathophysiological effects of obesity and results in significant, sustained weight loss and improvement or remission of every disease associated with obesity. Outcomes depend upon the specific surgical procedure or device utilized and patient factors. Every aspect of bariatric surgery is covered in this chapter, including the indications and contraindications for surgery, the preoperative physical, social and psychological assessments of the patient that should be done prior to surgery, the procedures for obtaining informed consent, and the potential complications of surgery, including the primary 30 day complications for each surgical procedure. This chapter also includes a complete description of the mechanism of action of MBS. It also contains a detailed description of the major surgical procedures approved for use in the United States and the major surgical “devices” approved by the FDA for use in obesity treatment, including the (Laparoscopic (or open) Roux-en Y Gastric Bypass (LRYGB), the Laparoscopic Sleeve Gastrectomy (LSG), the Duodenal Switch/Biliopancreatic Diversion (DS/BPD), the Laparoscopic Adjustable Gastric Band (LAGB), the Gastric Balloon (GB) and the Vagal Blocking Device (VBLOC).  Finally, this chapter covers the data on outcomes of MBS on weight loss and obesity-related disease, and the subjects of post-surgical health maintenance and weight regain.

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    Robin P. Blackstone

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Blackstone, R.P. (2016). Bariatric Surgery. In: Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-39409-1_11

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