Bariatric Failures Paolo Gentileschi Bariatric Surgery Unit University of Rome Tor Vergata.

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Presentation transcript:

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/m 2 or >35 with obesity-related co-morbidity) in whom non- surgical treatment options were unsuccessful. Monteforte et al. ObesSurg 2000 Bariatric surgery is appropriate for morbidly obese patients (BMI>40 kg/m 2 or >35 with obesity-related co-morbidity) in whom non- surgical 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/m 2 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

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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