Asunto(s)
Derivación Gástrica , Obesidad Mórbida , Esofagitis Péptica , Reflujo Gastroesofágico , HumanosRESUMEN
In 2005, for the first time in European history, an extraordinary Expert panel named 'The BSCG' (Bariatric Scientific Collaborative Group), was appointed through joint effort of the major European Scientific Societies which are active in the field of obesity management. Societies that constituted this panel were: IFSO - International Federation for the Surgery of Obesity, IFSO-EC - International Federation for the Surgery of Obesity - European Chapter, EASO - European Association for Study of Obesity, ECOG - European Childhood Obesity Group, together with the IOTF (International Obesity Task Force) which was represented during the completion process by its representative. The BSCG was composed not only of the top officers representing the respective Scientific Societies (four acting presidents, two past presidents, one honorary president, two executive directors), but was balanced with the presence of many other key opinion leaders in the field of obesity. The BSCG composition allowed the coverage of key disciplines in comprehensive obesity management, as well as reflecting European geographical and ethnic diversity. This joint BSCG expert panel convened several meetings which were entirely focused on guidelines creation, during the past two years. There was a specific effort to develop clinical guidelines, which will reflect current knowledge, expertise and evidence based data on morbid obesity treatment.
Asunto(s)
Cirugía Bariátrica , Obesidad/cirugía , Adolescente , Adulto , Factores de Edad , Cirugía Bariátrica/métodos , Índice de Masa Corporal , Niño , Contraindicaciones , Europa (Continente) , Humanos , Cooperación Internacional , Absorción Intestinal/fisiología , Persona de Mediana Edad , Obesidad/dietoterapia , Grupo de Atención al Paciente , Cuidados Preoperatorios/métodos , Insuficiencia del TratamientoAsunto(s)
Obesidad/epidemiología , Adulto , Índice de Masa Corporal , Niño , Humanos , Obesidad/etiologíaAsunto(s)
Adipocitos/fisiología , Obesidad/genética , Obesidad/fisiopatología , Adolescente , Adulto , Niño , HumanosAsunto(s)
Derivación Gástrica/efectos adversos , Derivación Gástrica/métodos , Aumento de Peso , Animales , Biodegradación Ambiental , Apósitos Biológicos/normas , Derivación Gástrica/psicología , Humanos , Mucosa Intestinal/trasplante , Porcinos , Insuficiencia del Tratamiento , Negativa del Paciente al TratamientoAsunto(s)
Comorbilidad , Obesidad/fisiopatología , Pérdida de Peso/fisiología , Diabetes Mellitus , HumanosRESUMEN
Obesity is a major health hazard in developed countries, and morbid obesity is associated with serious, debilitating and life-threatening sequelae. Medical treatments have been unsuccessful in the long run, if at all. Operations for massive obesity have developed over the last 40 years, based on malabsorption or gastric reduction, or a combination of both. These operations are being extended into the laparoscopic realm. Operation has been found to be the only method of achieving sustained significant weight loss, with reversal of the co-morbidities and rehabilitation, and with an acceptable complication rate, in the majority of these patients.