| Severe/extreme obesity: a medical disease requiring a surgical treatment? | |
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MedLine Citation:
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PMID: 10443044 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A J Scheen; F H Luyckx; C Desaive; P J Lefèbvre |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Acta clinica Belgica Volume: 54 ISSN: 0001-5512 ISO Abbreviation: Acta Clin Belg Publication Date: 1999 Jun |
Date Detail:
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Created Date: 1999-09-08 Completed Date: 1999-09-08 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0370306 Medline TA: Acta Clin Belg Country: BELGIUM |
Other Details:
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Languages: eng Pagination: 154-61 Citation Subset: IM |
Affiliation:
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Service de Diabétologie, Nutrition et Maladies métaboliques, CHU Sart Tilman, Liège, Belgique. Andre.Scheen@chu.ulg.ac.be |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Obesity Agents
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therapeutic use Body Mass Index Diet, Reducing Gastric Bypass / adverse effects, methods Gastroplasty / adverse effects, methods Humans Intraoperative Complications / prevention & control Obesity / complications, surgery* Obesity, Morbid / complications, surgery* Patient Selection Postoperative Complications / prevention & control Risk Assessment Safety Stomach / surgery Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Obesity Agents |
| Comments/Corrections | |
Comment In:
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Acta Clin Belg. 1999 Jun;54(3):141-6
[PMID:
10443041
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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