Gastric Surgery for Morbid Obesity

Neurologic complications of gastric bypass surgery for morbid obesity.

BACKGROUND The number of bariatric procedures is rapidly growing as the prevalence of obesity in the USA is increasing. Such procedures are not without complications, and those affecting the nervous system are often disabling and irreversible. We now describe our experience with these complications and review the pertinent literature. METHODS We describe 26 patients with major neurologic cond...

Bariatric surgery for morbid obesity.

n engl j med 356;21 www.nejm.org may 24, 2007 2176 This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are prese...

Laparoscopic Surgery for Morbid Obesity

Laparoscopic Surgery for Morbid Obesity

Obesity was identified as a disease thirty years ago when, the WHO listed obesity as a disease condition in its International Classification of Diseases in 1979. The prevalence of obesity, and especially of morbid obesity, is increasing worldwide and it is today becoming a significant health hazard. Indeed, obesity rates have now reached epidemic proportions in the western hemisphere, with over...

Stenosis in gastric bypass for morbid obesity.

veloped by many patients with morbid or severe obesity secondary to hyperinsulinism, renders subjects at risk of cardiovascular disease. This, together with osteoarticular disease from overload, sleep apnea, and a long list of potential comorbidities, progressively impairs quality of life with a significantly reduced lifespan. Health resource use because of this condition has grown exponentiall...