Crook, Martin A. and Sriram, Krishnan (2015) Bariatric surgery may not achieve intended outcomes in all patients. Nutrition (Letter to the Editor), 31 (9). pp. 1182-1183. ISSN 0899-9007 (Print), 1873-1244 (Online) (doi:10.1016/j.nut.2015.01.011)

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Abstract

The obesity epidemic is increasing worldwide with multiple contributing factors. In most cases, obesity is an imbalance between calories required and calories consumed. In some cases, metabolic and endocrinologic etiologies are involved. In addition to the well-known lifestyle changes (“more exercise, restriction of oral intake”), other medical strategies often are required, especially for morbidly obese patients. However, the use of medications as an adjunct to weight reduction has not resulted in uniform long-term benefits and common side effects limit their use. “Bariatric” surgical procedures have become increasingly popular, but regulations may be suboptimal in many countries. However, even in programs that follow accepted standards of care, short- and long-term complications are not uncommon. These adverse events are more common with bypass procedures, where portions of the stomach and proximal bowel (duodenum, jejunum) are bypassed compared with restrictive procedures where essentially the volume of the gastric remnant is decreased leading to early satiety and by default, diminished oral intake. Although these procedures are performed for the morbidly obese patient, indications recently have been expanded to include obese patients with diabetes and adolescents.

Item Type:	Article
Uncontrolled Keywords:	Bariatric surgery; Protein–energy malnutrition; Albumin; Micronutrients
Faculty / School / Research Centre / Research Group:	Faculty of Engineering & Science
Last Modified:	20 Oct 2016 11:49
URI:	http://gala.gre.ac.uk/id/eprint/13718

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