Abstract
Bariatric surgery is performed in patients with a body mass index (BMI) > 40kg/m2, or BMI > 35 kg/m2 with obesityrelated comorbidities. The RouxenY gastric bypass and sleeve gastrectomy are the most frequently used procedures. On average, patients have lost 2527% of their original weight 10 years after surgery. Obesityrelated comorbidities improve dramatically in many patients following surgery. The effect is most noticeable in patients with diabetes mellitus type 2 and obstructive sleep apnoea syndrome. The prevalence of 30day complications is < 5%. Mortality is < 0.2% in centres with a lot of experience. Commonly occurring longterm complications of bariatric surgery include deficiencies, particularly of iron and vitamin B12, along with gallstone disease and sagging skin. Specific complications can arise following RouxenY gastric bypass, such as internal herniation and hypoglycaemia, and these are often not recognised.
Translated title of the contribution | Bariatric surgery: Who, when and where?; An overview for the referring physician |
---|---|
Original language | Dutch |
Article number | D1249 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 161 |
Issue number | 30 |
Publication status | Published - 2017 |