Bariatric surgery: techniques, outcomes and complications

Summary Bariatric or weight loss surgery is the only treatment for morbid obesity that confers definitive weight loss at long-term follow-up. In addition to weight reduction there is a strong possibility of amelioration or even cure of various co-morbid conditions associated with obesity such as Typ...

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Bibliographic Details
Published inCurrent anaesthesia & critical care Vol. 21; no. 1; pp. 31 - 38
Main Authors Khwaja, Haris A, Bonanomi, Gianluca
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.02.2010
Subjects
Anesthesia & Perioperative Care
Bariatric surgery
Bilio-pancreatic diversion
Complications
Critical Care
Duodenal switch
Gastric banding
Gastric bypass
Malabsorptive surgery
Morbid obesity
Restrictive surgery
Sleeve gastrectomy
Bilio-pancreatic diversion
Complications
Malabsorptive surgery
Restrictive surgery
Gastric banding
Bariatric surgery
Gastric bypass
Duodenal switch
Morbid obesity
Sleeve gastrectomy
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Summary:Summary Bariatric or weight loss surgery is the only treatment for morbid obesity that confers definitive weight loss at long-term follow-up. In addition to weight reduction there is a strong possibility of amelioration or even cure of various co-morbid conditions associated with obesity such as Type II diabetes mellitus, obstructive sleep apnoea, hypertension, asthma, osteoarthritis and gastro-oesophageal reflux disease. Laparoscopic bariatric surgery is now the gold standard technique in weight loss surgery with the Roux-en-Y Gastric Bypass, Adjustable Gastric Band and Sleeve Gastrectomy being the commonly performed surgeries in Europe, United States and Australia. This review aims to outline the technique, efficacy and complications of these procedures as well as outline the less commonly performed though highly efficacious Bilio-pancreatic Diversion and Duodenal Switch. For the maximal benefit of any of the above weight loss surgeries it is essential the management of these patients be within a multi-disciplinary team (MDT) setting. Indeed it is the vital contributions of the anaesthesiologists, dieticians, clinical psychologists and diabetologists as well as technically sound surgery that ensures a successful outcome from bariatric surgery.
ISSN:0953-7112
1532-2033
DOI:10.1016/j.cacc.2009.10.005