, Volume 12, Issue 4, pp 296-303
Date: 17 Jun 2010

Factors in Selecting the Optimal Bariatric Procedure for a Specific Patient and Parameters by Which to Measure Appropriate Response to Surgery

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Bariatric operations are increasingly being used to induce weight loss and ameliorate or cure most of the morbidities that accompany obesity. These procedures not only produce substantial weight loss (>50% body weight), but they cure or ameliorate the comorbidities (diabetes type 2, hypertension, sleep apnea, hyperlipidemia) in the vast majority of patients. These procedures can usually be performed laparoscopically with a mortality of less than 0.5% and a hospital stay of 1 to 3 days. Presently they are the only effective treatment for weight loss in the extremely obese patient (body mass index ≥ 35).