Critical assessment of the current guidelines for the management and treatment of morbidly obese patients

Autor: Felipe F. Casanueva, Ferran Barbé, Wifredo Ricart, Lluís Masmiquel, Judith Salvador, Bartolome Burguera, Carlos Dieguez, Josep Vidal, Gema Frühbeck, Antoni Torres, Antonio Vidal-Puig, M. Garcia Sanz, Lars Sjöström, M. Vila, Miquel Fiol, K. Higa, V. Moizé, Nicola Scopinaro, Peter Arner, M. Garcia Romero, F. X. Pi-Sunyer, M.R. Salinas, A. Pagan, A. Lacy, O. Ibarra, Ramon Gomis, J. M. Fernandez Real, A. Larrad, Basilio Moreno, T. Cabanes, Ezio Ghigo, José Moreiro, J. R. Urgeles, R. Riesco, Antonia Barceló, V. Pereg, Aniceto Baltasar, Alvar Agusti, X. Formiguera, I. Breton, Marta E. Couce, A. Sánchez Pernaute
Rok vydání: 2007
Předmět:
Zdroj: ResearcherID
Scopus-Elsevier
ISSN: 1720-8386
0391-4097
DOI: 10.1007/bf03349226
Popis: An interdisciplinary panel of specialists met in Mallorca in the first European Symposium on Morbid Obesity entitled; "Morbid Obesity, an Interdisciplinary Approach". During the two and half days of the meeting, the participants discussed several aspects related to pathogenesis, evaluation, and treatment of morbid obesity. The expert panel included basic research scientists, dietitians and nutritionists, exercise physiologists, endocrinologists, psychiatrists, cardiologists, pneumonologists, anesthesiologists, and bariatric surgeons with expertise in the different weight loss surgeries. The symposium was sponsored by the Balearic Islands Health Department; however, this statement is an independent report of the panel and is not a policy statement of any of the sponsors or endorsers of the Symposium. The prevalence of morbid obesity, the most severe state of the disease, has become epidemic. The current recommendations for the therapy of the morbidly obese comes as a result of a National Institutes of Health (NIH) Consensus Conference held in 1991 and subsequently reviewed in 2004 by the American Society for Bariatric Surgery. This document reviews the work-up evaluation of the morbidly obese patient, the current status of the indications for bariatric surgery and which type of procedure should be recommended; it also brings up for discussion some important real-life clinical practice issues, which should be taken into consideration when evaluating and treating morbidly obese patients. Finally, it also goes through current scientific evidence supporting the potential effectiveness of medical therapy as treatment of patients with morbid obesity.
Databáze: OpenAIRE