Obesity levels continue to rise around the world, leading to a multitude of health problems. While many ‘medical’ attempts at managing obesity have proven ineffective in the long term, some types of surgery for weight control have been shown to result in significant and sustained weight loss. In this article Mr David Galloway and Mr Paul Witherspoon outline the different procedures and their risks and benefits.
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References
1.
Scottish Executive. Review of bariatric surgical services in Scotland.Edinburgh: Scottish Executive; 2004.
2.
BouldinMJRossLASumrallCDThe effect of obesity surgery on obesity comorbidity. Am J Med Sci2006; 331(4):183–93.
3.
Center for Disease Control and Prevention. Overweight and obesity: childhood overweight: overweight prevalence. Available from: http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htm
4.
NICE. Clinical Guideline 43 – Obesity. London: NICE, Dec 2006. Available from: http://guidance.nice.org.uk/CG43
5.
ColquittJCleggALovemanESurgery for morbid obesity. Cochrane Database Syst Rev2003; 2:CD003641. Available from: http://www.cochrane.org/reviews/en/ab003641.html
6.
JenkinsJTModakPGallowayDJ.Prospective study of laparoscopic adjustable gastric banding in the west of Scotland. SMJ2006; 50(1):37–41.
7.
BuchwaldHAvidorYBraunwaldEBariatric surgery. A systematic review and meta-analysis. JAMA2004; 292:1724–97.
8.
BuchwaldH.Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers. Surg Obes Rel Dis2005; 1(3):371–81.