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The role of metabolic and bariatric surgery on the obesity pandemic in Latin America: A review of current practices and future directions.
Castellanos, Luis D; Anselmetti, Paola; Acosta G, Arnaldo J; Tomey, Daniel; Araujo-Contreras, Robert; Puche, Emiro; Elzein, Steven; Graham, Yitka; Mahawar, Kamal; Marshall, Skye; Abou-Mrad, Adel; Oviedo, Rodolfo J.
Afiliación
  • Castellanos LD; School of Medicine, Universidad del Zulia, Maracaibo, Venezuela.
  • Anselmetti P; School of Medicine, Universidad del Zulia, Maracaibo, Venezuela.
  • Acosta G AJ; School of Medicine, Universidad de los Andes, Mérida, Venezuela.
  • Tomey D; Department of Surgery, Houston Methodist Hospital, Houston, Texas, USA.
  • Araujo-Contreras R; Department of Neurology, Boston Medical Center, Boston, Massachusetts, USA.
  • Puche E; School of Medicine, Universidad Francisco de Miranda, Coro, Venezuela.
  • Elzein S; Department of Surgery, Houston Methodist Hospital, Houston, Texas, USA.
  • Graham Y; Helen McArdle Nursing and Care Research Institute, Sunderland, UK.
  • Mahawar K; Department of Surgery, University of Sunderland, Sunderland, UK.
  • Marshall S; Research Institute for Future Health, Gold Coast, Queensland Australia; Bond University Nutrition and Dietetics Research Group, Bond University, Gold Coast, Queensland, Australia; and Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
  • Abou-Mrad A; Centre Hospitalier Universitaire d'Orléans, Loire, France.
  • Oviedo RJ; Nacogdoches Center for Metabolic & Weight Loss Surgery, Nacogdoches, Texas, USA.
Obes Rev ; 25(9): e13793, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38885965
ABSTRACT
Latin America faces a significant public health challenge due to the high prevalence of obesity and its associated diseases. Metabolic and bariatric surgery is effective and safe to treat obesity when other treatments fail; however, its implementation in Latin America remains unsatisfactory. This review explores the current status, challenges, and innovations of metabolic and bariatric surgery in Latin America. We searched peer-reviewed journals in English and Spanish for relevant articles published between 1998 and 2023. We found that more than 20% of the Latin American population is affected by obesity. Unfortunately, only a limited number of patients have access to metabolic and bariatric surgery due to high cost, limited availability, and shortage of specialists. The review found that ongoing clinical trials are being conducted in Brazil, Mexico, Chile, and Venezuela, indicating some regional progress. However, published studies remain low in number compared with other regions. Furthermore, we summarized the clinical outcomes, risks, and perioperative assessments associated with metabolic and bariatric surgery. We discussed potential strategies to enhance the availability and affordability of this intervention. This review emphasizes the significance of metabolic and bariatric surgery in addressing the obesity pandemic, specifically for Latin America, and proposes directions for future research and innovation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Bariátrica / Obesidad Límite: Humans Idioma: En Revista: Obes Rev Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Venezuela Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Bariátrica / Obesidad Límite: Humans Idioma: En Revista: Obes Rev Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Venezuela Pais de publicación: Reino Unido