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Bariatric surgery: a primer.

Shahzeer Karmali1, Carlene Johnson Stoklossa, Arya Sharma

  • 1Department of Surgery, University of Alberta, 405 CSC, 10240 Kingsway Ave, Edmonton, AB T5H 3V9. shahzeer@ualberta.ca

Canadian Family Physician Medecin De Famille Canadien
|September 16, 2010
PubMed
Summary
This summary is machine-generated.

Bariatric surgery is recommended for high-risk obese patients who haven't succeeded with other treatments. Lifelong multidisciplinary care is essential for successful bariatric surgery outcomes and managing potential complications.

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Area of Science:

  • Medical Science
  • Surgical Procedures
  • Obesity Management

Background:

  • Severe obesity poses significant risks for morbidity and mortality.
  • Behavioral and pharmacologic therapies have limited long-term success in severe obesity.
  • Renewed interest in bariatric surgery as an effective treatment option.

Purpose of the Study:

  • To review the management of patients undergoing bariatric surgery.
  • To highlight the importance of multidisciplinary care in bariatric surgery.
  • To inform primary care physicians about their role in bariatric patient management.

Main Methods:

  • Systematic literature search of MEDLINE, EMBASE, and Cochrane Library databases.
  • Inclusion of evidence from levels I, II, and III.
  • Review conducted from January 1950 to December 2009.

Main Results:

  • Bariatric surgery is indicated for high-risk obese patients with obesity-related complications unresponsive to conservative management.
  • Significant weight loss, comorbid condition resolution, and improved quality of life are potential benefits.
  • Patient selection requires consideration of weight history, accountability, comprehension, and risk tolerance.
  • Potential complications include technical failure, bleeding, pain, nausea, excess skin, obstruction, ulcers, and strictures.
  • Lifelong monitoring by a multidisciplinary team is crucial.

Conclusions:

  • Multidisciplinary care is key for successful bariatric surgery outcomes.
  • Comprehensive patient assessment, treatment, and long-term monitoring are essential.
  • Primary care physicians play a vital role in patient counseling and post-operative management.