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  1. Surgical treatment of obesity : Who is an appropriate candidate ?

    Article - En anglais

    The increasing prevalence and far-reaching medical, social, and economical implications of obesity have made it a national health-care crisis in the United States.

    About one in every three persons is at least 20% above « ideal » body weight, and approximately 5% have direct weight-related serious health problems (morbid obesity), including hypertension, hyperlipidemia, coronary artery disease, adult-onset diabetes mellitus, degenerative osteoarthropathy, and obstructive sleep apnea.

    Morbidly obese patients have an estimated 6-to 12-fold increase in mortality.

    In addition, they have a substantially diminished quality of life, not only physically but also psychosocially due to overt and occult prejudice.

    Weight reduction must be aggressively pursued in these patients.

    Medically supervised weight-control programs have been ineffective because patients cannot maintain pronounced long-term weight loss.

    In contrast, current operative methods have been proved to be effective in helping patients achieve and maintain permanent weight reduction.

    Several operations have been designed and assessed ; with these procedures, weight loss is achieved by inducing malabsorption, maldigestion, early satiety, or a combination of these outcomes.

    Although these operations have associated side effects and limitations, the expected benefits outweigh the risks.

    For optimal results, patients must be carefully selected and treated by a multidisciplinary group.

    Mots-clés Pascal : Obésité, Homme, Chirurgie, Technique, Indication, Malabsorption intestinale, Perte poids, Etat nutritionnel, Trouble nutrition, Appareil digestif pathologie, Intestin pathologie

    Mots-clés Pascal anglais : Obesity, Human, Surgery, Technique, Indication, Intestinal malabsorption, Weight loss, Nutritional status, Nutrition disorder, Digestive diseases, Intestinal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0339752

    Code Inist : 002B22B. Création : 12/09/1997.