Document Detail

Severe/extreme obesity: a medical disease requiring a surgical treatment?
MedLine Citation:
PMID:  10443044     Owner:  NLM     Status:  MEDLINE    
Obesity poses a serious health hazard and its treatment is often disappointing. Surgical approaches have been proposed for treating severe obesity (body mass index or BMI > or = 35 kg/m2) with comorbidities or extreme obesity (BMI > or = 40 kg/m2). Before accepting bariatric surgery as alternative treatment, the four following prerequisites should be met: 1. the medical condition is serious enough; 2. it can not be treated satisfactorily with classical means; 3. the surgical treatment is effective in improving the clinical situation; and 4. bariatric surgery is safe enough, so that the benefits clearly outweigh the risks. On the basis of the literature and our own experience, it appears that gastric reduction surgery may be considered as a valuable alternative for treating severe/extreme obesity, despite the possible occurrence of perioperative and, more frequently, late complications, provided that it is performed by an experienced and multidisciplinary team in well-selected patients.
A J Scheen; F H Luyckx; C Desaive; P J Lefèbvre
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta clinica Belgica     Volume:  54     ISSN:  1784-3286     ISO Abbreviation:  Acta Clin Belg     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-09-08     Completed Date:  1999-09-08     Revised Date:  2014-03-18    
Medline Journal Info:
Nlm Unique ID:  0370306     Medline TA:  Acta Clin Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  154-61     Citation Subset:  IM    
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MeSH Terms
Anti-Obesity Agents / therapeutic use
Body Mass Index
Diet, Reducing
Gastric Bypass / adverse effects,  methods
Gastroplasty / adverse effects,  methods
Intraoperative Complications / prevention & control
Obesity / complications,  surgery*
Obesity, Morbid / complications,  surgery*
Patient Selection
Postoperative Complications / prevention & control
Risk Assessment
Stomach / surgery
Treatment Outcome
Reg. No./Substance:
0/Anti-Obesity Agents
Comment In:
Acta Clin Belg. 1999 Jun;54(3):141-6   [PMID:  10443041 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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