Document Detail


Bariatric surgery: a cost-effective intervention for morbid obesity; functional and nutritional outcomes.
MedLine Citation:
PMID:  20441667     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Obesity has been described as the health crisis of the 21st century. It is a chronic lifelong medical condition, whose pattern often starts in childhood, and is demographically worsening in every developed country. The cost of treating the many medical conditions associated with obesity threatens to overwhelm healthcare resources. Medical treatments produce at most no more than 10% weight loss in the severely obese, with high failure rates. In this article, we review the available evidence regarding long-term reduction in weight, reduced mortality and improvement in most, if not all, obesity-related comorbidities. There is a need for daily multivitamins and extra minerals, especially with gastric bypass, and nutritional deficiencies of vitamins D and B12, Ca, Fe and folate need monitoring and prevention. Currently there is no medical therapy on the near horizon that will match the effect of surgery, which, if done safely, remains the only effective therapy. Bariatric surgery is cost effective, and health providers should embrace the development and rapid expansion of services.
Authors:
Richard Welbourn; Dimitri Pournaras
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Publication Detail:
Type:  Journal Article     Date:  2010-05-04
Journal Detail:
Title:  The Proceedings of the Nutrition Society     Volume:  69     ISSN:  0029-6651     ISO Abbreviation:  Proc Nutr Soc     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505881     Medline TA:  Proc Nutr Soc     Country:  England    
Other Details:
Languages:  eng     Pagination:  528-35     Citation Subset:  IM    
Affiliation:
South West Level 1 Bariatric Surgery Centre, Musgrove Park Hospital, Taunton TA1 5DA, UK. Richard.welbourn@tst.nhs.uk
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