Surgical Treatment of Obesity. Special Mention to Roux-en-Y Gastric Bypass and Vertical Gastrectomy.

Autor: Luesma MJ; Department of Human Anatomy and Histology, School of Medicine, University of Zaragoza, Zaragoza, Spain., Fernando J; General Surgery and Digestive System Service, Royo Villanova Hospital, Zaragoza, Spain., Cantarero I; Department of Morphological and Social Health Sciences, Faculty of Medicine and Nursing, University of Córdoba, Córdoba, Spain., Lucea P; Department of Human Anatomy and Histology, School of Medicine, University of Zaragoza, Zaragoza, Spain., Santander S; Department of Pharmacology and Physiology, School of Medicine, University of Zaragoza, Zaragoza, Spain.
Jazyk: angličtina
Zdroj: Frontiers in endocrinology [Front Endocrinol (Lausanne)] 2022 Mar 31; Vol. 13, pp. 867838. Date of Electronic Publication: 2022 Mar 31 (Print Publication: 2022).
DOI: 10.3389/fendo.2022.867838
Abstrakt: Introduction: The prevalence of obesity has increased exponentially in recent decades, being one of the diseases that most affects global health. It is a chronic disease associated with multiple comorbidities, which lead to a decrease in life expectancy and quality of life. It requires a multidisciplinary approach by a specialized medical team. Obesity can be treated with conservative or with surgical treatments that will depend on the characteristics of the patient.
Objective/methodology: The referenced surgery can be performed using different surgical techniques that are analyzed in the present work through an exhaustive narrative bibliographic review in the PubMed and Cochrane databases, as well as in UpToDate.
Results: Currently, those most used are restrictive techniques, specifically vertical gastrectomy and mixed techniques, with gastric bypass being the "gold standard".
Conclusions: In order to choose one technique or another, the characteristics of each patient and the experience of the surgical team must be taken into account.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Luesma, Fernando, Cantarero, Lucea and Santander.)
Databáze: MEDLINE