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Sleeve Gastrectomy in Mice using Surgical Clips
05:16

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Published on: November 14, 2020

[Guidelines for clinical practice for bariatric surgery].

Cécile Ciangura1, David Nocca, Valérie Lindecker

  • 1Groupe hospitalier Pitié Salpêtrière (AP-HP), pôle d'endocrinologie, service de nutrition, 75651 Paris cedex 13, France. cecile.ciangura@psl.aphp.fr

Presse Medicale (Paris, France : 1983)
|September 3, 2010
PubMed
Summary

Bariatric surgery is for individuals with a high body mass index (BMI) and related health issues. Careful patient selection and lifelong follow-up are crucial for successful outcomes.

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Area of Science:

  • Medical Science
  • Surgical Procedures
  • Obesity Management

Context:

  • Bariatric surgery is indicated for individuals with a body mass index (BMI) of 40 kg/m² or higher, or 35 kg/m² with comorbidities.
  • Patient selection requires access to specialized care and commitment to long-term medical follow-up.
  • Age (over 60) and specific conditions like genetic obesity or craniopharyngioma necessitate careful consideration.

Purpose:

  • To outline the comprehensive process and considerations for bariatric surgery.
  • To detail patient eligibility, contraindications, and the multidisciplinary approach.
  • To emphasize the importance of pre-operative assessment and lifelong post-operative care.

Summary:

  • Pre-operative evaluation involves a multidisciplinary team to identify contraindications, optimize health, and assess psychological and nutritional status.
  • Surgical decisions are made through collaborative team analysis.
  • Lifelong follow-up is essential for monitoring nutritional deficiencies, surgical complications, and providing ongoing lifestyle support and psychological care.

Impact:

  • Ensures appropriate patient selection for bariatric surgery, minimizing risks.
  • Facilitates comprehensive management of obesity and its associated comorbidities.
  • Improves long-term patient outcomes through sustained medical and lifestyle support.