Keywords
Obesity
Quality of Life
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Abstract
Objective: To examine the clinical and psychosocial consequences of bariatric surgery as a treatment for obesity. Bibliographic review: Obesity has become increasingly common. It is a chronic disease characterized by excess adipose tissue and is related to type 2 diabetes mellitus (DM 2), cardiovascular diseases and obstructive sleep apnea (OSA). Body mass index (BMI) values above 30 kg/m2 are considered class 1 obesity. Bariatric surgery is highly effective, promotes sustained weight loss and has evidence of reducing associated comorbidities. The most used surgical techniques are Roux-en-Y gastric bypass (RYGB) and laparoscopic lateral gastrectomy (LSG). Despite the benefits, some patients may face issues such as eating disorders, low self-esteem, transfer of addictions, difficulty socializing and development of unrealistic expectations. Final Considerations: It is concluded that the treatment of obesity with bariatric surgery must have a multidisciplinary approach to help patients deal with the psychosocial adversities involved in the process and adapt to the changes resulting from the new lifestyle.
References
AFFINATI AH, et al. Bariatric Surgery in the Treatment of Type 2 Diabetes. Curr Diab Rep. 2019 Dec 4;19(12):156.
BJØRKLUND G, et al. Iron Deficiency in Obesity and after Bariatric Surgery. Biomolecules. 2021; 11(5): 613.
CHANDRAKUMAR H, et al. The Effects of Bariatric Surgery on Cardiovascular Outcomes and Cardiovascular Mortality: A Systematic Review and Meta-Analysis. Cureus. 2023; 15(2): e34723.
DELEDDA A, et al. Deledda A, Pintus S, Loviselli A, Fosci M, Fantola G, Velluzzi F. Nutritional Management in Bariatric Surgery Patients. Int J Environ Res Public Health. 2021; 18(22): 12049.
DOUMOURAS AG, et al. Bariatric Surgery and Cardiovascular Outcomes in Patients With Obesity and Cardiovascular Disease: A Population-Based Retrospective Cohort Study. Circulation. 2021; 143(15): 1468-1480.
FINK J, et al. Obesity Surgery. Dtsch Arztebl Int. 2022; 119(5): 70-80.
FRIGOLET ME, et al. Obesity, adipose tissue, and bariatric surgery. Bol Med Hosp Infant Mex. 2020;77(1):3-14.
GRÖNROOS S, et al. Effect of Laparoscopic Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass on Weight Loss and Quality of Life at 7 Years in Patients With Morbid Obesity: The SLEEVEPASS Randomized Clinical Trial. JAMA Surg. 2021 Feb 1;156(2):137-146.
HERNÁNDEZ LA, et al. Causes of revisional surgery, reoperations, and readmissions after bariatric surgery. Rev Gastroenterol Mex (Engl Ed). 2023 Jul-Sep;88(3):232-237.
KLOOCK S, et al. Obesity and its comorbidities, current treatment options and future perspectives: Challenging bariatric surgery? Pharmacol Ther. 2023; 251: 108549.
KOSMALSKI M, et al. Pharmacological Support for the Treatment of Obesity-Present and Future. Healthcare (Basel), 2023; 11(3): 433.
LUESMA MJ, et al. Surgical Treatment of Obesity. Special Mention to Roux-en-Y Gastric Bypass and Vertical Gastrectomy. Front Endocrinol (Lausanne) 2022; 13: 867838.
NOVELLI G, et al. Genetics: A Starting Point for the Prevention and the Treatment of Obesity. Nutrients. 2023; 15(12): 2782.
PERDOMO CM, et al. Contemporary medical, device, and surgical therapies for obesity in adults. Lancet. 2023; 401(10382): 1116-1130.
RASPANTE LBP, et al. Review and pictorial essay on complications of bariatric surgery. Rev Assoc Med Bras (1992). 2020; 66(9): 1289-1295.
SÁNCHEZ-CARRACEDO D. Obesity stigma and its impact on health: A narrative review. Endocrinol Diabetes Nutr (Engl Ed), 2022; 69(10): 868-877.
SARWER DB, HEINBERG LJ. A review of the psychosocial aspects of clinically severe obesity and bariatric surgery. Am Psychol. 2020; 75(2) :252-264
SCARPELLINI E, et al. International consensus on the diagnosis and management of dumping syndrome. Nat Rev Endocrinol. 2020; 16(8) :448-466.
SIERŻANTOWICZ R, et al. Quality of Life after Bariatric Surgery-A Systematic Review. Int J Environ Res Public Health. 2022; 19(15): 9078.
SLURINK IAL, et al. Longitudinal trajectories and psychological predictors of weight loss and quality of life until 3 years after metabolic and bariatric surgery. J Psychosom Res. 2024; 178: 111590.
WADDEN TA, et al. Lifestyle modification approaches for the treatment of obesity in adults. Am Psychol. 2020; 75(2): 235-251.
WYSZOMIRSKI K, et al. Obesity, Bariatric Surgery and Obstructive Sleep Apnea-A Narrative Literature Review. Medicina (Kaunas). 2023 Jul 7;59(7):1266.