Prise en charge medicale sur le long terme apres chirurgie bariatrique.

The number of bariatric surgery interventions has increased over the past 10 years. The effectiveness of bariatric surgery is currently well demonstrated. However, the need to organize a careful medical follow-up of these patients is essential to ensure a positive evolution over the long term. In fact, weight change may be highly variable : excessive weight loss, early stabilization, progressive weight recovery in the middle or long term, all events that often require a multidisciplinary approach. The risk of osteoporosis, dumping syndrome and micronutrient deficiencies requires long-term medical monitoring. In absence of adequate management, such complications may hinder the success of surgery. This article describes the most important points of long-term medical follow-up of patients who underwent bariatric surgery.