Obésité

, Volume 2, Issue 1, pp 12–18 | Cite as

Les freins à la chirurgie de l’obésité: le «facteur patient», un autre «french paradox»?

Point De Vue / Point Of View
First Online:

Résumé

La communauté des chirurgiens bariatriques se plaint de multiples barrières entravant le développement de techniques jugées seules efficaces dans le traitement de l’obésité morbide. L’exemple français montre que le nombre de procédures n’augmente plus après une période de forte croissance, alors que les besoins théoriques ne sont pas satisfaits et que les barrières sont beaucoup moins importantes que dans la plupart des pays. Ce « paradoxe français » se justifie si l’on tient compte des réticences de la population et d’un niveau de preuves insuffisant pour proposer de manière systématique la chirurgie de l’obésité. Des techniques moins invasives devraient favoriser l’unité d’action des praticiens qui soignent l’obésité et la mise en œuvre d’études cliniques comparatives randomisées.

Mots clés

Chirurgie bariatrique 

The patient barrier to obesity surgery: another French paradox?

Abstract

The bariatric surgery community is expressing concern about the multiple barriers to the widespread adoption of procedures that offer the only effective treatments for morbid obesity. In France, the number of procedures has stabilized after a period of rapid growth, despite the fact that current needs persist and barriers to this type of surgical solution are fewer in most countries. This new “French paradox” is understandable when taking into account public scepticism and the lack of scientific justification for systematic surgical referrals. Less invasive procedures would encourage unified standards for physicians who treat obesity and stimulate the implementation of comparative, randomized clinical trials.

Keywords

Bariatric surgery 
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Copyright information

© Springer 2007

Authors and Affiliations

  1. 1.Polyclinique de RillieuxRillieux-la-papeFrance

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