Reference : Severe/extreme obesity: a medical disease requiring a surgical treatment?
Scientific journals : Article
Human health sciences : Surgery
Human health sciences : Endocrinology, metabolism & nutrition
Severe/extreme obesity: a medical disease requiring a surgical treatment?
Scheen, André mailto [Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale >]
Luyckx, Françoise mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chimie médicale >]
Desaive, Claude [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Lefebvre, Pierre [Centre Hospitalier Universitaire de Liège - CHU > > Diabétologie,nutrition, maladies métaboliques >]
Acta Clinica Belgica
Acta Clinica Belgica
Yes (verified by ORBi)
[en] Anti-Obesity Agents/therapeutic use ; Body Mass Index ; Diet, Reducing ; Gastric Bypass/adverse effects/methods ; Gastroplasty/adverse effects/methods ; Humans ; Intraoperative Complications/prevention & control ; Obesity/complications/surgery ; Obesity, Morbid/complications/surgery ; Patient Selection ; Postoperative Complications/prevention & control ; Risk Assessment ; Safety ; Stomach/surgery ; Treatment Outcome
[en] Obesity poses a serious health hazard and its treatment is often disappointing. Surgical approaches have been proposed for treating severe obesity (body mass index or BMI > or = 35 kg/m2) with comorbidities or extreme obesity (BMI > or = 40 kg/m2). Before accepting bariatric surgery as alternative treatment, the four following prerequisites should be met: 1. the medical condition is serious enough; 2. it can not be treated satisfactorily with classical means; 3. the surgical treatment is effective in improving the clinical situation; and 4. bariatric surgery is safe enough, so that the benefits clearly outweigh the risks. On the basis of the literature and our own experience, it appears that gastric reduction surgery may be considered as a valuable alternative for treating severe/extreme obesity, despite the possible occurrence of perioperative and, more frequently, late complications, provided that it is performed by an experienced and multidisciplinary team in well-selected patients.

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