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Bariatric surgery: the challenges with candidate selection, individualizing treatment and clinical outcomes

KJ Neff1, T Olbers23 and CW le Roux13*

Author affiliations

1 Experimental Pathology, UCD Conway Institute, School of Medicine and Medical Sciences, University College Dublin, Belfield, Dublin 4, Dublin, Ireland

2 Department of Bariatric Surgery, Carlanderska Hospital, Gothenburg, Sweden

3 Department of Gastrosurgical Research and Education, University of Gothenburg, 5-413 45 Gothenburg, Sweden

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Citation and License

BMC Medicine 2013, 11:8  doi:10.1186/1741-7015-11-8

Published: 10 January 2013

Abstract

Obesity is recognized as a global health crisis. Bariatric surgery offers a treatment that can reduce weight, induce remission of obesity-related diseases, and improve the quality of life. In this article, we outline the different options in bariatric surgery and summarize the recommendations for selecting and assessing potential candidates before proceeding to surgery. We present current data on post-surgical outcomes and evaluate the psychosocial and economic effects of bariatric surgery. Finally, we evaluate the complication rates and present recommendations for post-operative care.

Keywords:
Bariatric surgery; obesity; pre-operative assessment; postoperative outcomes.