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Bariatric surgery: early results with a multidisciplinary team
L Di Cosmo1, G Vuolo, A Piccolomini
1Surgical and Artificial Nutrition, University of Siena, Italy. DICOSMO@unisi.it
Obesity Surgery
|August 6, 2000
Summary
Bariatric surgery using a multidisciplinary team and laparoscopic adjustable gastric banding shows satisfactory early results, with significant weight loss and improved comorbidities in morbidly obese patients.
Area of Science:
- Bariatric surgery
- Obesity management
- Laparoscopic surgery
Background:
- Morbid obesity requires comprehensive preoperative evaluation for optimal treatment selection.
- A multidisciplinary team approach was established at the University of Siena in 1998.
Purpose of the Study:
- To evaluate the early outcomes of bariatric surgery conducted by a multidisciplinary team.
- To assess the efficacy and safety of laparoscopic adjustable gastric banding in morbidly obese patients.
Main Methods:
- 16 patients with a median BMI of 43 underwent bariatric surgery.
- A multidisciplinary assessment evaluated psychological, dietary, compliance, and physiological parameters.
- Laparoscopic adjustable gastric banding was the primary surgical approach, with some patients undergoing laparotomy or other procedures.
Main Results:
- No operative morbidity or mortality was observed.
- Median weight loss at three months was 19.5 kg.
- All patients experienced improvement in comorbidities, though some had post-operative vomiting.
Conclusions:
- Early results indicate satisfactory outcomes with a multidisciplinary team and laparoscopic banding.
- The approach appears effective for managing morbid obesity and its associated health issues.