[Surgical treatment of serious obesity: many questions on medical indications and results remain]. / Operatieve behandeling van ernstige obesitas: nog veel vragen over indicaties en resultaten.
Ned Tijdschr Geneeskd
; 151(20): 1109-11, 2007 May 19.
Article
en Nl
| MEDLINE
| ID: mdl-17557665
Obesity is associated with increased mortality and a whole spectrum ofco-morbidities. Weight loss is indicated to relieve or prevent these co-morbidities and to reduce psychosocial and socio-economic consequences. The step-wise approach of obesity treatment is first the combination of energy restriction, physical activity and behavioural changes, followed by pharmacotherapy. The last step is bariatric surgery. From the results oflaparoscopic gastric banding, as published in this issue of the journal, two important aspects emerge. First, a change in the operation technique considerably reduced the long-term complication rate and second, the attrition rate decreased due to follow-ups managed by nurse practitioners. The study can also be criticised for not giving details of the selection procedures and the number of and reasons for rejection as well as for not reporting the improvements in co-morbidity and quality of life.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Obesidad Mórbida
/
Pérdida de Peso
/
Selección de Paciente
/
Cirugía Bariátrica
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
2007
Tipo del documento:
Article
Pais de publicación:
Países Bajos