ARTICOLE DE SINTEZA - REVIEW
THE TREATMENT OF MORBID OBESITY
S. Lunca*, M Vix**
* Emergency Clinic Hospital, University of Medicine and Pharmacy „Gr.T.
Popa” Iasi
** IRCAD/EITS University of Medicine „Louis Pasteur”,
Strasbourg, France
Jurnalul de chirurgie 2005; 1 (1):34-41
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Abstract:
Morbid obesity is defined when Body Mass Index (BMI) exceeds 40 kg/m2.
Main indications for surgery are: BMI > 40 or BMI > 35 with
significant co-morbidities.
Three types of operations are currently done for morbid obesity:
restrictive, malabsorptive and mix procedures (restrictive/malabsorptive).
Restrictive procedures (gastric banding and vertical banded gastroplasty)
determine an excess weight loss of 40 – 50%, mix procedures
(Roux-en-Y gastric by-pass) of 60 – 70% and malabsorptive procedures
(biliopancreatic diversion with or without of duodenal switch) of
75 – 80%
In terms of risk/benefit gastric banding offers the best results.
All these procedure are done today by laparoscopy with comparable
results as in open surgery. Malabsorptive or mix procedures which
have the best results may be reserved for patients with the most severe
obesity or co-morbid conditions.
KEYWORDS: MORBID OBESITY, SURGERY, INDICATIONS, OUTCOMES
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