Bariatric Failures
Paolo Gentileschi
Bariatric Surgery Unit
University of Rome Tor Vergata
FALLIMENTI DOPO CHIRURGIA BARIATRICA
Paolo Gentileschi
Dipartimento Medicina Sperimentale e Chirurgia
Università di Roma Tor Vergata
BARIATRIC SURGERY FAILURES
- INADEQUATE WEIGHT LOSS
- INADEQUATE CO-MORBIDITY
RESOLUTION
- SIGNIFICANT WEIGHT REGAIN
- LONG-TERM ADVERSE EFFECTS AND
COMPLICATIONS
Bariatric Surgery for Morbid Obesity: a
Meta-analysis
Bariatric surgery is appropriate for morbidly
obese patients (BMI>40 kg/m2 or >35 with
obesity-related co-morbidity) in whom nonsurgical treatment options were unsuccessful.
Monteforte et al. ObesSurg 2000
La Chirurgia Bariatrica
Meta-Analysis: Surgical Treatment ofObesity
M.A.Aggardet al. Annals of Internal Medicine, 2005
Surgery is more effective than nonsurgical treatment
for weight loss and control of comorbid conditions in
patients with BMI of 40 kg/m2 or greater
Perdita di peso in Chirurgia
Bariatrica
M.A. Maggard, Ann Intern Med, 2005
FALLIMENTI DOPO CHIRURGIA BARIATRICA
WEIGHT REGAIN
FALLIMENTI DOPO CHIRURGIA BARIATRICA
FALLIMENTI DOPO CHIRURGIA BARIATRICA
FALLIMENTI DOPO CHIRURGIA BARIATRICA
FALLIMENTI DOPO CHIRURGIA BARIATRICA
FALLIMENTI DOPO CHIRURGIA BARIATRICA
FAILURES BY PROCEDURE
- LAGB 12-64%
- VBG 10-54%
- LSG 12-48%
- LRYGB 8-42%
- LBPD-DS 10-40%
- LBPD 4-10%
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