Original Articles

Journal of Endocrinological Investigation

, Volume 30, Issue 10, pp 844-852

Critical assessment of the current guidelines for the management and treatment of morbidly obese patients

  • B. BurgueraAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta Email author 
  • , A. AgustiAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , P. ArnerAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , A. BaltasarAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , F. BarbeAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , A. BarceloAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , I. BretonAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , T. CabanesAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
  • , F. F. CasanuevaAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , M. E. CouceAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , C. DieguezAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , M. FiolAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , J. M. Fernandez RealAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , X. FormigueraAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , G. FruhbeckAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , M. Garcia RomeroAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , M. Garcia SanzAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , E. GhigoAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , R. GomisAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , K. HigaAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , O. IbarraAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , A. LacyAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , A. LarradAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , L. MasmiquelAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , V. MoizéAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , B. MorenoAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , J. MoreiroAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , W. RicartAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , R. RiescoAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , M. SalinasAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , J. SalvadorAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , F. X. Pi-SunyerAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , N. ScopinaroAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , L. SjostromAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , A. PaganAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , V. PeregAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , A. Sánchez PernauteAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , A. TorresAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , J. R. UrgelesAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , A. Vidal-PuigAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , J. VidalAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta
    • , M. VilaAffiliated withResearch Unit, Servicio de Endocrinologia, Hospital Universitario Son Dureta

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Abstract

An interdisciplinary panel of specialists met in Mallorca in the first European Symposium on Morbid Obesity entitled; “Morbid Obesity, an Interdisciplinary Approach”. During the two and half days of the meeting, the participants discussed several aspects related to pathogenesis, evaluation, and treatment of morbid obesity. The expert panel included basic research scientists, dietitians and nutritionists, exercise physiologists, endocrinologists, psychiatrists, cardiologists, pneumonologists, anesthesiologists, and bariatric surgeons with expertise in the different weight loss surgeries. The symposium was sponsored by the Balearic Islands Health Department; however, this statement is an independent report of the panel and is not a policy statement of any of the sponsors or endorsers of the Symposium. The prevalence of morbid obesity, the most severe state of the disease, has become epidemic. The current recommendations for the therapy of the morbidly obese comes as a result of a National Institutes of Health (NIH) Consensus Conference held in 1991 and subsequently reviewed in 2004 by the American Society for Bariatric Surgery. This document reviews the work-up evaluation of the morbidly obese patient, the current status of the indications for bariatric surgery and which type of procedure should be recommended; it also brings up for discussion some important real-life clinical practice issues, which should be taken into consideration when evaluating and treating morbidly obese patients. Finally, it also goes through current scientific evidence supporting the potential effectiveness of medical therapy as treatment of patients with morbid obesity. Key-words: Morbid obesity, bariatric surgery, gastric bypass surgery, biliopancretic diversion, ghrelin, medical therapy.

Key-words

Morbid obesity bariatric surgery gastric bypass surgery biliopancretic diversion ghrelin medical therapy