Bariatric Surgery Risks

Each surgery has its own benefits and risks. Undergoing weight loss surgery is a serious decision. Awareness of the surgery and its consequences is important before taking a decision. Other factors to consider include the patients BM ! eating habits! health conditions related to obesity! and pre"ious stomach surgeries. #aparoscopic slee"e gastrectomy $#%&' has been performed for morbid obesity in the past () years. #%& was originally intended as a first*stage procedure in high*risk patients but has become a stand*alone operation for many bariatric surgeons. +he ,rd nternational summit on #%& in -)).! concluded that the weight loss and impro"ement in diabetes appear to be better than with laparoscopic ad/ustable gastric banding and on par with 0ou1*en*2 gastric bypass. 3igh leaks are infrequent but problematic (). () +hird nternational %ummit4 current status of slee"e gastrectomy. Mer"yn 5eitel! Michel &agner! %urgery for Obesity and 0elated 5iseases 6 $-)((' 67.869. #%& is an accepted bariatric procedure that can be used for many different patient populations. t has been effecti"ely used as part of a staged risk*management strategy for high*risk patients and has gained popularity as a primary bariatric procedure. +he e"idence supporting the safety and efficacy of %& continues to increase and long*term data are emerging that report e1cess weight loss greater than 9):. A second stage gastric bypass or duodenal switch promotes further weight loss in selected patients with weight regain or inadequate weight loss after #%&. Attracti"e features of #%& are rapid weight loss! comorbidity reduction! and a"oidance of long*term complications of bypass procedures or implantable de"ices. ;oncerns remain regarding the risks of leak after #%&! the long*term incidence of &E05 symptoms! and weight loss durability beyond 9 years. Management of leaks after #%& is a formidable challenge for the bariatric surgeon! and early diagnosis followed by a multidisciplinary treatment strategy is key. +he precise mechanism of sustained weight loss and diabetes remission after %& is unclear! but early e"idence suggests that this is a metabolic procedure that affects nutrient transit! gut hormones! and the enteroinsular a1is in a fa"orable way ((. (( %tacy A. Brethauer! %lee"e &astrectomy. %urg ;lin < Am .( $-)((' (-=98(-6. Bariatric surgery requires a multi*disciplinary approach because an obese person often has some other health complication. Moreo"er! a surgery on an e1tremely hea"y person requires a different setup of large operating tables and instruments and special e1pertise. <o"a %pecialty %urgery centers has the infrastructure and the e1perts to conduct bariatric surgeries.

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