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

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Presentation on theme: "Bariatric Failures Paolo Gentileschi Bariatric Surgery Unit University of Rome Tor Vergata."— Presentation transcript:

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

2 FALLIMENTI DOPO CHIRURGIA BARIATRICA Paolo Gentileschi Dipartimento Medicina Sperimentale e Chirurgia Università di Roma Tor Vergata

3 BARIATRIC SURGERY FAILURES -INADEQUATE WEIGHT LOSS -INADEQUATE CO-MORBIDITY RESOLUTION -SIGNIFICANT WEIGHT REGAIN -LONG-TERM ADVERSE EFFECTS AND COMPLICATIONS

4 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

5 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

6 Perdita di peso in Chirurgia Bariatrica M.A. Maggard, Ann Intern Med, 2005

7 FALLIMENTI DOPO CHIRURGIA BARIATRICA

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13 WEIGHT REGAIN

14 FALLIMENTI DOPO CHIRURGIA BARIATRICA

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21 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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