Weight loss outcomes and complications from bariatric surgery in the super super obese

Abstract

Bariatric surgery is feasible in the SSO patients with comparable EWL outcomes and postoperative complications to historical non-SSO patients.

Comparative effectiveness of Roux-en-Y gastric bypass and sleeve gastrectomy in super obese patients

“…There are considerable differences in obesity-related healthcare costs by degree of obesity [11]. Historically, SO patients have been associated with increased perioperative risk due to their greater incidence of comorbidities [12], although more recent data seem to be less clear [13][14][15]. Furthermore, these patients commonly have thicker abdominal walls, greater amounts of visceral fat in the abdominal cavity, and hepatomegaly [16].…”

Rapid Evidence Review of Bariatric Surgery in Super Obesity (BMI ≥ 50 kg/m2)

“…27 For the comparison of different bariatric surgery types, data were available from one systematic review, 28 two RCTs, 29,30 and 18 retrospective cohorts. [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] The majority of studies involved mostly women aged 35 to 45 years. We rated the systematic review as fair quality, 28 one RCT (in four studies) as low risk of bias, 29,[49][50][51] and one RCT as unclear risk of bias.…”

Is body mass index ≥50 kg/m2 a predictor of higher morbidity for patients who have undergone laparoscopic sleeve gastrectomy?

“…[ 2 ] Bariatric surgery is the most effective long-term treatment for morbid obesity. [ 3 ] Super-morbid obesity (SMO) (BMI >50 kg/m 2 ) is associated with high morbidity and mortality. Patient characteristics and surgeon experience also affect the rates of morbidity and mortality in this patient group.…”