Surgery Useful for Morbid Obesity, but Safety and Efficacy Questions Linger

Mitka, Mike
October 2006
JAMA: Journal of the American Medical Association;10/4/2006, Vol. 296 Issue 13, p1575
Academic Journal
The article states that bariatric surgery works better than lifestyle changes or drug therapy for the treatment of morbid obesity, which is defined as having a body mass index of over 40, or over 35 with a comorbid condition. The gastric bypass surgery is still facing questions about how effective and safe the treatment is. Complications of the surgery include dumping syndrome, which includes vomiting, diarrhea, and reflux, anastomosis complications like strictures or leaks, abdominal hernias, infections, and pneumonia. Some eligible patients are reluctant to seek care, as they are embarrassed by the condition. Some insurance companies refuse to pay for the procedure.


Related Articles

  • Laparoscopic adjustable banded roux-en-y gastric bypass as a primary procedure for the super-super-obese (body mass index > 60 kg/m2). Dillemans, Bruno; Van Cauwenberge, Sebastiaan; Agrawal, Sanjay; Van Dessel, Els; Mulier, Jan-Paul // BMC Surgery;2010, Vol. 10, p33 

    Background: Currently, there is no consensus opinion regarding the optimal procedure of choice in super-supermorbid obesity (Body mass index, BMI > 60 kg/m2). Roux-en-Y gastric bypass (RYGB) is associated with failure to achieve or maintain 50% excess weight loss (EWL) or BMI < 35 in...

  • Clinical Impact of a 6-Week Preoperative Very Low Calorie Diet on Body Weight and Liver Size in Morbidly Obese Patients. González-Pérez, Jordán; Sánchez-Leenheer, Sofía; Delgado, Alfredo; González-Vargas, Lizbeth; Díaz-Zamudio, Mariana; Montejo, Gerardo; Criales, Sergio; Williams, Nicholas; Pantoja, Juan; Sierra, Mauricio; Velázquez-Fernández, David; Herrera, Miguel // Obesity Surgery;Oct2013, Vol. 23 Issue 10, p1624 

    Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) may be a technically challenging surgical technique when features such as thick abdominal wall and increased liver volume are present. Very low calorie diets in the form of liquid meal replacements given 6 weeks prior to surgery have...

  • Excess Weight Loss Variation in Late Postoperative Period of Gastric Bypass. Barhouch, Anália S.; Zardo, Marcelo; Padoin, Alexandre V.; Colossi, Fernanda G.; Casagrande, Daniela S.; Chatkin, Raquel; Mottin, Cláudio Corá // Obesity Surgery;Nov2010, Vol. 20 Issue 11, p1479 

    Background: In the late postoperative period of gastric bypass surgery, we observe that many patients weight regain. The objective of this study was to determine the excess weight loss variation at 24 and 60 months postoperative. A secondary objective was to evaluate in the period described, the...

  • One Anastomosis Gastric Bypass Reconstitutes the Appropriate Profile of Serum Amino Acids in Patients with Morbid Obesity. Halinski, Lukasz P.; Pakiet, Alicja; Jablonska, Patrycja; Kaska, Lukasz; Proczko-Stepaniak, Monika; Slominska, Ewa; Sledzinski, Tomasz; Mika, Adriana // Journal of Clinical Medicine;Jan2020, Vol. 9 Issue 1, p100 

    Bariatric surgery leads to metabolic benefits in patients with obesity, but their mechanisms are not well understood. The appropriate composition of serum amino acids (AA) is important for sufficient supply of these components into various tissues and organs. Obesity leads to alterations in...

  • Laparoscopic sleeve gastrectomy: an innovative new tool in the battle against the obesity epidemic in Canada. Karmali, Shahzeer; Schauer, Philip; Birch,, Daniel; Sharma, Arya M.; Sherman, Vadim // Canadian Journal of Surgery;Apr2010, Vol. 53 Issue 2, p126 

    Obesity can be considered to be one of the most important chronic diseases facing Canadians of all ages. Whereas patients with a very high body mass index may have the most to gain from procedures such as Roux-en-Y gastric bypass or biliopancreatic diversion/duodenal switch, the increased risk...

  • Laparoscopic Sleeve Gastrectomy is a Safe and Effective Bariatric Procedure for the Lower BMI (35.0-43.0 kg/m) Population. Gluck, Brian; Movitz, Blake; Jansma, Shannon; Gluck, Jennifer; Laskowski, Kelly // Obesity Surgery;Aug2011, Vol. 21 Issue 8, p1168 

    Background: The laparoscopic vertical sleeve gastrectomy (LSG) is derived from the biliopancreatic diversion with duodenal switch operation (Marceau et al., Obes Surg 3:29-35, ; Hess and Hess, Obes Surg 8:267-82, ; Chu et al., Surg Endosc 16:S069, ). Later, LSG was advocated as the first step of...

  • Morbidly Obese Pay Nearly Twice as Much for Health Care.  // O&P Business News;3/15/2005, Vol. 14 Issue 6, p84 

    Focuses on the results of a study on health care costs for morbidly obese adults conducted by researchers at University of Cincinnati in Ohio. Medical expenditures for morbidly obese adults in 2001 as compared to normal-weight adults, overweight adults and obese adults; Factors attributed to...

  • Magenstrasse and Mill Gastroplasty and Sleeve Gastrectomy as Treatment for Morbid Obesity. ARROYO, KERVIN; ALKHOURY, FUAD; NADZAM, GEOFFREY; VALIN, ELMER // Connecticut Medicine;Nov2010, Vol. 74 Issue 10, p589 

    Background: Laparoscopic nonbanded restrictive procedures are becoming more popular as staging and primary operations in bariatric surgery. The Magenstrasse and Mill (MM) procedure produces a restrictive gastric tubular pouch based along the lesser curvature; for the most part anatomy and...

  • Results of Teenaged Bariatric Patients Performed in an Adult Program. Madan, Atul K.; Dickson, Paxton V.; Ternovits, Craig A.; Tichansky, David S.; Lobe, Thom E. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Aug2007, Vol. 17 Issue 4, p473 

    Background: Morbid obesity is a growing epidemic among adolescents. Bariatric surgery has proven to be the only long-term effective method in treating morbidly obese adults for over a decade. The laparoscopic approach has become a popular option. This study tested the hypothesis that...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics