Скачать или смотреть DOCPOD 15 - Modern Means of Weight Loss: Recent Trends, effects and discussion on Bariatric Surgery

Bariatric surgery refers to a group of weight-loss procedures performed on individuals with severe obesity. It includes techniques such as gastric bypass, sleeve gastrectomy, and adjustable gastric banding. The primary goal is to reduce stomach size and/or alter digestion, leading to significant weight loss and improvements in obesity-related health conditions.

🔸️Uses of Bariatric Surgery

1.⁠ ⁠Weight Loss – Helps individuals with a BMI ≥ 40 or BMI ≥ 35 with comorbidities (e.g., diabetes, hypertension) achieve sustainable weight reduction.
2.⁠ ⁠Diabetes Remission – Many patients experience improved glucose control or complete remission of Type 2 diabetes.
3.⁠ ⁠Cardiovascular Benefits – Lowers the risk of heart disease, stroke, and hypertension.
4.⁠ ⁠Improved Metabolic Health – Reduces cholesterol levels and risk of fatty liver disease.
5.⁠ ⁠Enhanced Quality of Life – This leads to better mobility, reduced joint pain, and improved mental health.

🔸️Effects of Bariatric Surgery

🔅Positive Effects:
•Long-term weight loss (up to 60-70% excess weight loss).
•Resolution or improvement in obesity-related conditions.
•Reduced mortality rate in obese individuals.

🔅Potential Risks:
▪︎Nutritional deficiencies (e.g., vitamin B12, iron, calcium).
▪︎Gastrointestinal issues (dumping syndrome, acid reflux).
▪︎Surgical complications (infection, bleeding, leakage).
▪︎Psychological effects, including depression or body image concerns.

🔸️Clinical Research:

"Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes"
The study demonstrated that:
•⁠ ⁠Bariatric surgery led to higher rates of diabetes remission compared to medical therapy.
•⁠ ⁠Surgical patients experienced significant weight loss and improved glycemic control.
•⁠ ⁠The benefits of surgery were sustained over a longer period, indicating its efficacy in long-term diabetes management.

Citation: Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes. New England Journal of Medicine. 2017;376(7):641-651.

Link: https://www.nejm.org/doi/full/10.1056...