Transoral surgery for morbid obesity

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...

Minimally invasive surgery for morbid obesity.

In patients with morbid obesity, surgery is the only treatment known to produce sustained weight loss and to reduce comorbidities. Traditional (open) gastric bypass surgery is associated with postoperative complications that include wound infection, pulmonary embolism, and pneumonia. Laparoscopic techniques achieve similar long-term results as does open surgery, with fewer postoperative complic...

[Night blindness and xerophthalmia after surgery for morbid obesity].

CASE REPORT We describe ocular findings due to a vitamin A deficiency in a 50-year-old man. The patient had undergone intestinal bypass surgery two years before. After therapy with oral vitamin A the symptoms improved. DISCUSSION The incidence of morbid obesity is increasing throughout much of the developed world, with intestinal bypass surgery the treatment of choice for most people with the...