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Surgical Management of Obesity

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Nutrition, Weight, and Digestive Health

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Abstract

Over the years, obesity has become a global pandemic. The medical comorbidities associated with obesity have resulted in immense medical costs in the healthcare system Bariatric surgery is currently considered the most effective treatment for individuals with morbid obesity who have failed medical weight loss therapies. Bariatric surgery has been proven to be effective and safe, yielding improvements in quality of life (QOL) and life expectancy. Furthermore, bariatric surgery has been shown to significantly improve obesity-associated comorbidities such as type 2 diabetes (T2D), sleep apnea, hypertension, and hyperlipidemia among many other metabolic improvements. There is also increasing evidence of the impact of bariatric surgery on neurohormonal signaling that control hunger and satiety, but more research is needed to better understand these mechanisms. The majority of bariatric surgeries are performed laparoscopically, resulting in less pain, faster recovery, and reduced morbidity and mortality. Despite the increasing prevalence of bariatric surgery, only 1% of eligible individuals with severe obesity opt for this treatment modality. Barriers to therapy include inadequate patient and provider education, patient preference, financial and insurance obstacles, and access.

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Authors and Affiliations

  1. Department of Surgery, Brigham and Women’s Hospital, Boston, MA, USA

    Danny Mou

  2. Division of General and GI Surgery, Brigham and Women’s Hospital, Boston, MA, USA

    Ali Tavakkoli

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  1. Division of Gastroenterology, Weill Cornell Medical Center, New York, NY, USA

    Carolyn Newberry

  2. Gastroenterology, Obesity Medicine Nutrition and Bariatric Endoscopist Gut Theory Total Digestive Care, George Washington University Hospital, Washington, DC, USA

    Janese Laster

  3. GI Nutrition, Celiac Disease and Obesity Program, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA

    Octavia Pickett-Blakely

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Mou, D., Tavakkoli, A. (2022). Surgical Management of Obesity. In: Newberry, C., Laster, J., Pickett-Blakely, O. (eds) Nutrition, Weight, and Digestive Health. Springer, Cham. https://doi.org/10.1007/978-3-030-94953-2_16

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  • DOI: https://doi.org/10.1007/978-3-030-94953-2_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94952-5

  • Online ISBN: 978-3-030-94953-2

  • eBook Packages: MedicineMedicine (R0)

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