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Semin Plast Surg 2006; 20(1): 009-014
DOI: 10.1055/s-2006-932444
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

What Plastic Surgeons Should Know about Bariatric Surgery

Bethany C. Sacks1 , Samer G. Mattar2
  • 1Division of Minimally Invasive Surgery, Department of Surgery, University of Pittsburgh Medical Center, Magee-Womens Hospital, Pittsburgh, Pennsylvania
  • 2Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana
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Publikationsdatum:
26. Januar 2006 (online)

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ABSTRACT

Bariatric surgery is the current standard treatment for severe obesity. A variety of procedures are currently performed, which provide durable and rapid weight loss through malabsorption, restriction, or a combination of the two. The significant amelioration of obesity-associated comorbidities has been demonstrated. Laparoscopic techniques in bariatric surgery provide patients with decreased morbidity and faster recovery, with an equivalent amount of weight loss. Weight loss is dramatic and progressive until a plateau is reached. Patients often seek the services of a plastic surgeon to remove the excess lax skin and improve the ptosis associated with such massive weight loss.

KEYWORDS

Morbid obesity - bariatric surgery - adjustable gastric band - biliopancreatic diversion - gastric bypass

REFERENCES

  • 1 Livingston E H. Procedure incidence and in-hospital complication rates of bariatric surgery in the United States.  Am J Surg. 2004;  188 105-110
    CrossrefPubMedSuche in Google Scholar
  • 2 Brolin R E. Update: NIH consensus conference. Gastrointestinal surgery for severe obesity.  Nutrition. 1996;  12 403-404
    CrossrefPubMedSuche in Google Scholar
  • 3 National Institutes of Health .The practical guide: identification, evaluation and treatment of overweight and obesity in adults. June 17, 1998 Available at: http://www.nhlbi.nih.gov/guidelines/obesity/practgde.htm Accessed December 20, 2005
    Suche in Google Scholar
  • 4 Nguyen N T, Goldman C, Rosenquist C J et al.. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs.  Ann Surg. 2001;  234 279-291
    CrossrefPubMedSuche in Google Scholar
  • 5 Schauer P R, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic roux-en-Y gastric bypass for morbid obesity.  Ann Surg. 2000;  232 515-529
    CrossrefPubMedSuche in Google Scholar
  • 6 Nguyen N T, Lee S L, Goldman C et al.. Comparison of pulmonary function and postoperative pain after laparoscopic versus open gastric bypass: a randomized trial.  J Am Coll Surg. 2001;  192 469-476
    CrossrefPubMedSuche in Google Scholar
  • 7 Balsiger B M, Poggio J L, Mai J, Kelly K A, Sarr M G. Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity.  J Gastrointest Surg. 2000;  4 598-605
    CrossrefPubMedSuche in Google Scholar
  • 8 Nightengale M L, Sarr M G, Kelly K A, Jensen M D, Zinsmeister A R, Palumbo P J. Prospective evaluation of vertical banded gastroplasty as the primary operation for morbid obesity.  Mayo Clin Proc. 1991;  66 773-782
    PubMedSuche in Google Scholar
  • 9 Fielding G A, Ren C J. Laparoscopic adjustable gastric band.  Surg Clin North Am. 2005;  85 129-140
    CrossrefPubMedSuche in Google Scholar
  • 10 DeMaria E J. Laparoscopic adjustable silicone gastric banding: complications.  J Laparoendosc Adv Surg Tech A. 2003;  13 271-277
    CrossrefPubMedSuche in Google Scholar
  • 11 Biertho L, Steffen R, Ricklin T et al.. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding: a comparative study of 1,200 cases.  J Am Coll Surg. 2003;  197 536-544
    CrossrefPubMedSuche in Google Scholar
  • 12 Weber M, Müller M K, Bucher T et al.. Laparoscopic gastric bypass is superior to laparoscopic gastric banding for treatment of morbid obesity.  Ann Surg. 2004;  240 975-982
    PubMedSuche in Google Scholar
  • 13 Scopinaro N, Adami G F, Marinari G M et al.. Biliopancreatic diversion.  World J Surg. 1998;  22 936-946
    CrossrefPubMedSuche in Google Scholar
  • 14 Marceau P, Hould F-S, Simard S et al.. Biliopancreatic diversion with a duodenal switch.  World J Surg. 1998;  22 947-954
    CrossrefPubMedSuche in Google Scholar
  • 15 Gagner M, Matteotti R. Laparoscopic biliopancreatic diversion with duodenal switch.  Surg Clin North Am. 2005;  85 141-149
    CrossrefPubMedSuche in Google Scholar
  • 16 Deveney C W, MacCabee D, Marlink K et al.. Roux-en-Y divided gastric bypass results in the same weight loss as duodenal switch for morbid obesity.  Am J Surg. 2004;  187 655-659
    CrossrefPubMedSuche in Google Scholar
  • 17 DeMaria E J. Is gastric bypass superior for the surgical treatment of obesity compared with malabsorptive procedures?.  J Gastrointest Surg. 2004;  8 401-403
    CrossrefPubMedSuche in Google Scholar
  • 18 Herron D M. Biliopancreatic diversion with duodenal switch vs. gastric bypass for severe obesity.  J Gastrointest Surg. 2004;  8 406-407
    CrossrefPubMedSuche in Google Scholar
  • 19 Schauer P R, Ikramuddin S, Hamad G et al.. Laparoscopic gastric bypass surgery: current technique.  J Laparoendosc Adv Surg Tech A. 2003;  13 229-239
    CrossrefPubMedSuche in Google Scholar
  • 20 Brolin R E. Gastric bypass.  Surg Clin North Am. 2001;  81 1077-1095
    CrossrefPubMedSuche in Google Scholar
  • 21 Higa K D, Boone K B, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients-what have we learned?.  Obes Surg. 2000;  10 509-513
    CrossrefPubMedSuche in Google Scholar
  • 22 Schwartz M L, Drew R L, Roiger R W, Ketover S R, Chazin-Caldie M. Stenosis of the gastroenterostomy after laparoscopic gastric bypass.  Obes Surg. 2004;  14 484-491
    CrossrefPubMedSuche in Google Scholar
  • 23 Nguyen N T, Stevens C M, Wolfe B M. Incidence and outcome of anastomotic stricture after laparoscopic gastric bypass.  J Gastrointest Surg. 2003;  7 997-1003
    CrossrefPubMedSuche in Google Scholar
  • 24 Garza E, Kuhn J, Arnold D, Nicholson W, Reddy S, McCarty T. Internal hernias after laparoscopic Roux-en-Y gastric bypass.  Am J Surg. 2004;  188 796-800
    CrossrefPubMedSuche in Google Scholar
  • 25 Stocker D J. Management of the bariatric surgery patient.  Endocrinol Metab Clin North Am. 2003;  32 437-457
    CrossrefPubMedSuche in Google Scholar
  • 26 Sugerman H J, Brewer W H, Shiffman M L et al.. A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss.  Am J Surg. 1995;  169 91-96
    CrossrefPubMedSuche in Google Scholar
  • 27 Wittgrove A C, Clark G W. Laparoscopic gastric bypass, Roux-en-Y-500 patients: technique and results, with 3-60 month follow-up.  Obes Surg. 2000;  10 233-239
    CrossrefPubMedSuche in Google Scholar
  • 28 Schauer P R, Burguera B, Ikramuddin S et al.. Effect of laparoscopic Roux-en Y gastric bypass on type 2 diabetes mellitus.  Ann Surg. 2003;  238 467-483
    PubMedSuche in Google Scholar
  • 29 Sugerman H J, Wolfe L G, Sica D A, Clore J N. Diabetes and hypertension in severe obesity and effects of gastric bypass-induced weight loss.  Ann Surg. 2003;  237 751-756
    CrossrefPubMedSuche in Google Scholar
  • 30 Pories W J, Swanson M S, MacDonald K G et al.. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus.  Ann Surg. 1995;  222 339-350
    CrossrefPubMedSuche in Google Scholar
  • 31 MacDonald K G, Long S D, Swanson M S et al.. The gastric bypass operation reduces the progression and mortality of non-insulin-dependent diabetes mellitus.  J Gastrointest Surg. 1997;  1 213-220
    CrossrefPubMedSuche in Google Scholar
  • 32 Dhabuwala A, Cannan R J, Stubbs R S. Improvement in co-morbidities following weight loss from gastric bypass surgery.  Obes Surg. 2000;  10 428-435
    CrossrefPubMedSuche in Google Scholar
  • 33 Sacks J, Sterry T P. Plastic surgery after excessive weight loss. In: Inabnet WB, DeMaria EJ, Ikramuddin S Laparoscopic Bariatric Surgery. Philadelphia, PA; Lippincott Williams & Wilkins 2005: 314-324
    Suche in Google Scholar
  • 34 Acarturk T O, Wachtman G, Heil B et al.. Panniculectomy as an adjuvant to bariatric surgery.  Ann Plast Surg. 2004;  53 360-366
    PubMedSuche in Google Scholar
  • 35 Knoetgen J, Petty P M, Johnson C H. Plastic surgery after bariatric surgery and massive weight loss.  Mayo Clin Proc. 2005;  80 136
    PubMedSuche in Google Scholar

Samer G MattarM.D. F.A.C.S. 

Director, Clarian Bariatric Center, Department of Surgery, Indiana School of Medicine

6625 Network Way, Suite 100, Indianapolis, IN 46728