Abstract
Introduction:
Bariatric surgery contributes to a better quality of life, leading to substantial weight loss in the majority of morbidly obese patients. However, nonadherence to lifestyle modifications may result in therapeutic failure.
Objectives:
Identify the impact of maladaptive eating patterns on surgical outcomes; analyze the role of a multidisciplinary team (MDT) in the management of bariatric patients.
Methods:
PubMed data published within the past 15 years were consulted, using combinations of key words. We prioritized 20 references, consisting of the most consistent guidelines, reviews, prospective, and retrospective cohorts.
Results:
The impact of preoperative weight loss and disturbed eating behaviors on bariatric surgery outcomes remains controversial. Despite defended by some authors, the hypothesis that restrictive interventions result in worse outcomes in patients with maladaptive eating patterns cannot be sustained by the current evidence.
Conclusion:
Some authors postulate that malabsorptive procedures would be more appropriate to patients with abnormal eating behaviors. Another line of investigation defends that weight loss depends more on the compliance to behavioral changes, than exclusively on the surgical technique. Both concepts agree on the need of a MDT and its pivotal role, including follow-up and active counseling, targeting patient awareness and adherence to a healthier lifestyle.
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