Effects of Types of Weight Loss Surgery on Weight and Health
Effect of Gastric Bypass and Stomach Banding
| Bariatric Surgery information Effects of Types of Weight Loss Surgery on Weight and Health |
Effect of Gastric Bypass and Stomach Banding |
Guide to Weight Loss Surgery - Research Into Gastric Reduction Surgery |
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Effects of Types of Weight Loss Surgery on Weight and Health Morbid obesity is defined as a BMI = 40, or BMI = 35 with significant comorbidity. It is associated with premature death, and increased rates of comorbid conditions, such as cardiovascular disease, hypertension, sleep apnoea syndrome, diabetes and osteoarthritis. In addition to reduced physical health, quality of life is poor due to impaired mental well-being and impaired psychosocial function. Surgical Guidelines Surgery to aid weight loss should be available as a treatment option for morbid obesity only if all other appropriate non-surgical treatments to loose weight have been tried without success. Types of Bariatric Surgery Operations There are two main types of surgical intervention – malabsorptive and restrictive. With malabsorptive surgery, parts of the gastrointestinal tract are bypassed in order to limit the absorption of food. With restrictive surgery, the size of the stomach is restricted so the person experiences the feeling of fullness with less food. Malabsorptive procedures include gastric bypass, biliopancreatic diversion and duodenal switch, while restrictive procedures include vertical banded gastroplasty, horizontal gastroplasty and gastric banding. Objectives The objective of this study was to assess the effects of different techniques
of surgery for people suffering from morbid obesity. The clinical endpoints
were weight loss, impact on comorbidity factors, quality of life, mortality
and complications Literature Search The report is based on systematic reviews and guidelines. An additional search for literature (randomised controlled trials, controlled trials and meta-analyses) was performed for the period 2001-2002 to identify more recent studies on topics with little information from the systematic reviews. The following databases was searched: the Cochrane Controlled Trial Register, Database of Abstracts of reviews of Effectiveness (DARE), International Network of Agencies for health Technology Assessment (INAHTA) database, Medline, EMBASE, National Guideline Clearinghouse, PRODIGY Guidance, NICE (National Institue for Clinical Excellence) and SIGN (Scottish Intercollegiate Guidelines Network). The literature search identified seven systematic reviews and three guidelines. The search for primary literature gave 175 hits (Medline) and 129 hits (Embase), 13 possibly relevant studies were assessed, and six of these studies included. Results and Conclusions Best Surgery for Weight Loss Pre-Operative Assessment Source: Stomach Bypass Surgery Information |