Bariatric surgery produces greater weight loss and improvements in medical conditions than non-surgical treatment of obesity

Dumon, Kristoffel R.; Savulionyte, Goda

doi:10.1136/eb-2013-101669

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…Obesity is a major health problem that independently contributes to the development and progression of chronic diseases, with prevalence rates that are likely to increase significantly in the near future [1,2]. With the failure of conventional treatments for weight loss -including pharmacological (e.g., appetite suppressants) and lifestyle modification programs -bariatric surgery is recognized as the most effective long-term solution for severe and complex obesity [3]. However, bariatric procedures are limited to candidates with a body mass index (BMI) ≥40 or 35-40 kg/m 2 with obesity-related comorbidities [4].…”

Section: Introductionmentioning

confidence: 99%

Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature

et al. 2021

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Introduction: Optimizing maintenance of weight loss for people with obesity following intragastric balloon (IGB) therapy hinges on the degree to which health care providers can recognize both the impact of emotional problems and mood difficulties on their capacity to self-manage, and requirements for additional support. However, there is limited research on the psychological correlates of IGB therapy. This systematic review, for the first time, attempts to identify and synthesize the empirical evidence for the reciprocal influence between psychological variables and IGB outcomes. Methods: A literature search was performed in the PubMed, SCOPUS, MEDLINE, and Google Scholar databases. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed using rigorous inclusion criteria and screening by at least 2 reviewers. The selected articles were assessed for quality using the Strengthening the Reporting of Observational Studies Epidemiology (STROBE) checklist. Data were extracted to address the review aims and presented as a narrative synthesis. The review protocol was preregistered (Prospero CRD42019121291). Results: A total of 16,179 titles, 14,369 abstracts, and 51 full-text articles were screened, of which 16 studies were included. Findings suggest that female gender, older age, basic educational level, and single/divorced civil status, together with lower levels of depression, binge eating, higher perceived quality of life, and motivation to change were predictors of enhanced IGB treatment outcomes. Dissatisfaction with treatment was higher in those with impaired obesity-related social-life difficulties. The IGB treatment was effective in reducing weight and improving depression, anxiety, eating disorder symptoms, and the overall life quality of patients with obesity – mainly within 6 months from the device positioning and in conjunction with conventional therapies. Discussion/Conclusion: In line with the available literature on obesity and bariatric surgery interventions, poor mental health appears to be an important barrier for successful weight loss among patients with obesity undergoing IGB treatment. In order to improve the efficacy and effectiveness of the IGB therapy, more comprehensive and standardized studies are needed to provide insight into the psychological mechanisms maintaining weight management issues.

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Section: Introductionmentioning

confidence: 99%

Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature

et al. 2021

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“…However, bariatric surgery, in comparison with non-surgical treatment, has been proven to have better outcomes in terms of body mass index (BMI) reduction and remission of several comorbidities associated with obesity [9–12]. It is important to emphasize that surgical treatment of obesity can spectacularly improve quality of life, especially in morbidly obese patients [13].…”

Section: Introductionmentioning

confidence: 99%

The knowledge of Polish primary care physicians about bariatric surgery.

Major¹,

Stefura²,

Jezierska-Kazberuk³

et al. 2016

Videosurgery and Other Miniinvasive Techniques

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IntroductionThe general practitioner (GP) can play a key role in this multi-disciplinary team, coordinating care provided by dietitians and surgeons, maximizing the potential benefits of surgery. Therefore, it seems important to verify changes in GPs’ knowledge about surgical treatment of obesity.AimTo reassess knowledge of obesity surgical treatment among Polish primary care physicians and their willingness to improve it in the future.Material and methodsTo assess the knowledge of Polish primary care physicians about surgical treatment of obesity, a prospective study, which included an anonymous online questionnaire, was conducted in the years 2015–2016.ResultsTwo hundred and six physicians answered the invitation. One hundred and sixty-six (81.8%) respondents were familiar with the indications for bariatric operation. The great majority of respondents, 198 (96.6%), were aware that bariatric surgery is efficient in the treatment of the metabolic syndrome. The study revealed a disproportion between the number of patients who would be potential candidates for bariatric treatment, who are currently under care of participating physicians, and the number of patients who are referred to a bariatric surgeon.ConclusionsOur study demonstrates that nowadays bariatric surgery is a recognized method of treatment, but physicians remain reluctant to refer their patients for surgical treatment of obesity. It was found that there is a large disproportion between the number of patients who are referred to a bariatric surgeon and the number of patients who require this treatment. It may be a result of lack of knowledge in the field of bariatric surgery.

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“…Surgery for obesity and weight-related diseases is known to be one of the most effective and durable treatments for obesity [3]. In addition to the significant weight loss and consequent esthetic changes that occur following surgery, patient benefits include resolution of various comorbidities related to obesity [4].…”

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confidence: 99%

Urinary Incontinence and Surgery for Obesity and Weight-Related Diseases: Are There Predictors of Improvement?

et al. 2018

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Bariatric surgery produces greater weight loss and improvements in medical conditions than non-surgical treatment of obesity

Cited by 6 publications

References 4 publications

Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature

Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature

The knowledge of Polish primary care physicians about bariatric surgery.

Urinary Incontinence and Surgery for Obesity and Weight-Related Diseases: Are There Predictors of Improvement?

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