Procedure and Patient Selection in Bariatric and Metabolic Surgery

Mahawar, Kamal, Parmar, Chetan and Graham, Yitka (2019) Procedure and Patient Selection in Bariatric and Metabolic Surgery. Minerva Chirugia.

[img] PDF
Mahawar et al, Minverva Chirugia.pdf - Accepted Version
Restricted to Repository staff only until 1 October 2020.

Download (533kB) | Request a copy

Search Google Scholar

Abstract

Introduction: Sleeve Gastrectomy (SG), Roux-en-Y Gastric Bypass (RYGB), and One Anastomosis Gastric Bypass (OAGB) are the commonest bariatric procedures performed worldwide. The purpose of this review was to analyse comparative data on these three procedures to aid patient and procedure selection for patients seeking Bariatric and Metabolic Surgery (BMS).

Evidence Acquisition: We examined published English language scientific literature available on PubMed for data comparing SG, RYGB, and OAGB for various groups of patients.

Evidence Synthesis: There are a number of variables that can influence patient and procedure selection for individuals seeking BMS. High-quality data comparing each of these procedures for every patient subgroup, for each possible outcome measure is lacking. It is, therefore, not currently possible to make strict recommendations regarding patient and procedure selection. At the same time, the multidisciplinary teams should understand that risks of surgery may simply be too high for some patients – such as those suffering from end-stage organ disease and those suffering from mega obesity (BMI ≥ 70 kg/m2). Surgery should only be offered to such high-risk groups in dedicated centres with appropriate expertise. For other patients, surgeons should carefully consider the pros and cons of each procedure, their own experience, and patient preferences before deciding the most appropriate BMS procedure for them.

Conclusion: This review examines various factors influencing patient and procedure selection in bariatric surgery. Authors feel it is currently not possible to make strict recommendations and surgeons should carefully discuss the pros and cons of bariatric surgery and that of various options available in their practice with the patients before making a final recommendation.

Item Type: Article
Subjects: Sciences > Nursing
Divisions: Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Depositing User: Yitka Graham
Date Deposited: 21 Oct 2019 11:14
Last Modified: 12 Mar 2020 16:02
URI: http://sure.sunderland.ac.uk/id/eprint/11233
ORCID for Yitka Graham: ORCID iD orcid.org/0000-0002-6206-1461

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year