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The pluses and minuses of bariatric surgery for morbid obesity: An endocrinological perspective
1Second Department of Endocrinology, Alexandra General Hospital, Athens, Greece. antonispolymeris@gmail.com
Insights
Bariatric surgery offers significant long-term weight loss and improves obesity-related conditions like type 2 diabetes and hypertension. An endocrinologist
Area of Science:
- Endocrinology
- Metabolic Surgery
- Obesity Medicine
Background:
- Obesity is a global epidemic linked to numerous comorbidities.
- These include type 2 diabetes mellitus, hypertension, and dyslipidemia.
- Bariatric surgery is recognized for inducing sustained weight loss and improving these conditions.
Purpose of the Study:
- To review the advantages and disadvantages of bariatric surgery.
- To evaluate these from an endocrinologist's perspective.
Main Methods:
- Review of current literature on bariatric surgery outcomes.
- Analysis of endocrine changes post-bariatric procedures.
Main Results:
- Bariatric surgery leads to significant weight reduction.
- Resolution or marked improvement in comorbidities such as type 2 diabetes, hypertension, and dyslipidemia.
- Endocrine alterations are key mechanisms for these benefits.
Conclusions:
- Bariatric surgery is an effective treatment for morbid obesity.
- It provides substantial metabolic and comorbidity improvements.
- Endocrinologists play a crucial role in managing patients undergoing bariatric procedures.
Abstract:
Obesity both in adults and children has emerged as a worldwide epidemic. Obesity is associated with an increased risk of a number of comorbidities including type 2 diabetes mellitus, hypertension, dyslipidemia, obstructive sleep apnea, certain types of cancer, degenerative joint disease, non-alcoholic fatty liver disease, reflux esophagitis, stroke, coronary heart disease, venous stasis ulcers, cholelithiasis, erectile dysfunction and polycystic ovary syndrome. It is now generally accepted that bariatric surgery procedures induce long-term weight loss and offer resolution or dramatic improvement in numerous comorbidities of obesity, including type 2 diabetes mellitus, hypertension and dyslipidemia. These effects mainly arise from endocrine changes resulting from the gastrointestinal surgical procedures. The aim of this short review was to evaluate the pros and cons of bariatric surgery for morbid obesity seen from the perspective of a practicing endocrinologist.
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