Format

Send to

Choose Destination
Prim Care. 2016 Mar;43(1):145-58, x. doi: 10.1016/j.pop.2015.10.003. Epub 2016 Jan 12.

Surgical Management of Metabolic Syndrome Related to Morbid Obesity.

Author information

1
Uniformed Services University of the Health Sciences, Bethesda, MD, USA. Electronic address: scott.rehrig@usuhs.edu.

Abstract

Current treatment approaches in morbid obesity are multimodal in nature. Combination therapies include increases in moderate-intensity aerobic and resistance exercise; behavioral lifestyle changes to increase compliance with diet and activity recommendations; medical nutrition therapy; intensive medical therapy; and metabolic surgical procedures, such as gastric bypass and vertical sleeve gastrectomy. This article focuses on the preoperative evaluation and proper patient selection for metabolic surgery. The procedures are discussed relative to their anatomy, metabolic mechanism of action, and common adverse effects.

KEYWORDS:

Bile acids; Gut microbiome; Metabolic surgery; Morbid obesity; Multimodal surgical pathway; Surgical outcomes; Surgical risk

PMID:
26896207
DOI:
10.1016/j.pop.2015.10.003
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center