Talk:Bariatric surgery

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Anaesthesia for bariatric surgery[edit]

Do we need a section on anaesthesia for bariatric surgery? Mr croc (talk) 21:34, 14 September 2011 (UTC)

Adverse Effects[edit]

"Common problems were gastric dumping syndrome in about 20% (bloatedness and diarrhoea after eating, necessitating small meals," How is this an adverse effect? At least in terms of restrictive surgery the inability to eat large meals is the stated goal of the operation. It may not be enjoyable for the patient but it doesn't belong in a section on complications any more than 'loss of a limb' would belong in a section on the complications of amputation. Danikat (talk) 10:27, 21 April 2009 (UTC)

No lead section[edit]

So what IS Bariatric Surgery? There seems to be no definition, and this should appear in the lead paragraph. Fiddle Faddle 08:14, 26 August 2007 (UTC)

I agree totally with the editor who placed {{context}} on the page. At least there is, now, an introductory paragraph, but the reader still has no idea what bariatric surgery is. Now I don't know either. I can assume that it's cutting bits off and throwing them away, but the article needs to lead us there. Fiddle Faddle 10:17, 22 September 2007 (UTC)

Review[edit]

A systematic review predating the 2007 studies: http://jama.ama-assn.org/cgi/content/full/292/14/1724 JFW | T@lk 01:18, 9 December 2008 (UTC)


There are new studies including "Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents, 1995 to 2004," that call into question some of the content of this article, specifically about the mortality rates arising from bariatric surgery. See: http://archsurg.ama-assn.org/cgi/reprint/142/10/923.pdf Xsub1 (talk) 02:35, 3 March 2009 (UTC)xsub1

obesity[edit]

obesity means you are larger in size; you're fat. —Preceding unsigned comment added by 76.180.93.254 (talk) 13:32, 1 April 2009 (UTC)

make sure to head over to the page on body-lenght and point out that short people have a limited height. i'm sure everybody is equally confused about that.

What does the recent article http://www.nytimes.com/2013/01/02/health/study-suggests-lower-death-risk-for-the-overweight.html, say about the real reduction in mortality rates due to the decrease in BMIs in the 25-35 range? Is it important to include in the bariatric surgery article?

NPOV dispute - Endoluminal sleeve[edit]

This section is worded awkwardly, and certain phrases don't belong, such as "It may offer the effective surgery free weight loss" and "Since the preceding paragraphs, the procedure's won the European CE Mark of Approval". —Preceding unsigned comment added by Mystere (talkcontribs) 01:47, 27 June 2010 (UTC)

Sourcing per WP:RS[edit]

I have made serious edits to this article. Until the removed information and links are discussed here, they do not belong in the main space. Flowanda | Talk 09:45, 18 August 2010 (UTC)

Endoluminal sleeve edits removed[edit]

Why were the edits updating info on the endoluminal sleeve including clinical trials on a new product that uses this method deleted? — Preceding unsigned comment added by 184.9.195.37 (talk) 06:15, 21 June 2011 (UTC)

BMJ review 2014[edit]

Good review article. I think the significant phrase is "short term":

Clinical Review State of the Art Review
Bariatric surgery for obesity and metabolic conditions in adults
BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g3961 (Published 27 August 2014) Cite this as: BMJ 2014;349:g3961
David E Arterburn, associate investigator1, Anita P Courcoulas, professor of surgery2

Abstract

This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remission of type 2 diabetes. Observational studies have linked bariatric procedures with long term improvements in body weight, type 2 diabetes, survival, cardiovascular events, incident cancer, and quality of life. Perioperative mortality for the average patient is low but varies greatly across subgroups. The incidence of major complications after surgery also varies widely, and emerging data show that some procedures are associated with a greater risk of substance misuse disorders, suicide, and nutritional deficiencies. More research is needed to enable long term outcomes to be compared across various procedures and subpopulations, and to identify those most likely to benefit from surgical intervention. Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process.

--Nbauman (talk) 22:25, 27 August 2014 (UTC)

JAMA 2014 systematic review[edit]

[1]

| title =Long-term Follow-up After Bariatric Surgery: A Systematic Review
| journal =JAMA.
| date =September 3, 2014
| authors =Nancy Puzziferri, Thomas B. Roshek III, Helen G. Mayo, Ryan Gallagher, Steven H. Belle, Edward H. Livingston
| volume =312
| issue =9
| pages =934-942.
| url =http://jama.jamanetwork.com/article.aspx?articleid=1900516
| doi =10.1001/jama.2014.10706.
| pmid =
| pmc =

Conclusions and Relevance. Very few bariatric surgery studies report long-term results with sufficient patient follow-up to minimize biased results. Gastric bypass has better outcomes than gastric band procedures for long-term weight loss, type 2 diabetes control and remission, hypertension, and hyperlipidemia. Insufficient evidence exists regarding long-term outcomes for gastric sleeve resections.
--Nbauman (talk) 04:28, 5 September 2014 (UTC)

This combined approach?[edit]

The second paragraph of the section on sleeve gastrectomy begins with "This combined approach ..." To this layman, it is not clear what is being combined with what. Later in the paragraph is mention of "the second procedure", adding to the confusion. Can someone clarify this? SDCHS (talk) 05:12, 6 July 2015 (UTC)

study comments post-op psych health[edit]

Hello I was trying to provide a balanced description of research about psychological health after surgery and had included this source (#2 below). I looked at it again, and it's a relatively small study of surgical patients (N=36) which found that pre-existing distress may improve in the short term but deteriorate 10 years after surgery[2] The more I looked at it, the more I thought it would give WP:UNDUE weight and therefore didn't think it was vital to include. But the study does suggest the need for better screening and follow up care. I'm leaving it here for discussion and inclusion if warranted. ----Cityside189 (talk) 00:48, 25 August 2015 (UTC)

External links modified[edit]

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Endoscopic treatments[edit]

doi:10.1053/j.gastro.2017.01.035 - AGA JFW | T@lk 14:57, 24 March 2017 (UTC)

SIPS/SADI-S/Loop DS surgery[edit]

Perhaps someone with the right technical/medical knowledge could add a section about SADI-S and SIPS, the new "modified" versions of the duodenal switch? Muzilon (talk) 11:38, 2 May 2017 (UTC)

  1. ^ Nancy Puzziferri, Thomas B. Roshek III, Helen G. Mayo, Ryan Gallagher, Steven H. Belle, Edward H. Livingston (September 3, 2014). "Long-term Follow-up After Bariatric SurgeryA Systematic Review". JAMA. 312 (9): 934–942. doi:10.1001/jama.2014.10706. 
  2. ^ http://www.nature.com/ejcn/journal/vaop/ncurrent/full/ejcn2015112a.html