Featured Research

from universities, journals, and other organizations

Obesity epidemic means bariatric surgery rates continue to rise, reports plastic and reconstructive surgery

Date:
October 2, 2012
Source:
Wolters Kluwer Health: Lippincott Williams & Wilkins
Summary:
With rising rates of morbid obesity, the number of bariatric surgery procedures is likely to increase as well, reports a new article.

With rising rates of morbid obesity, the number of bariatric surgery procedures is likely to increase as well, reports a paper in the October issue of Plastic and Reconstructive Surgeryฎ, the official medical journal of the American Society of Plastic Surgeons (ASPS).

Related Articles


Because of their role in dealing with aesthetic problems after massive weight loss, plastic surgeons must understand the principles and expected benefits of bariatric surgery procedures -- as well as the characteristics and potential medical risks of patients undergoing these procedures, according to the new review by Drs. Bruce Wolfe and Erin Gilbert of Oregon Health and Science University, Portland.

Rising Rates of Obesity Lead to Increases in Bariatric Surgery…

The authors reviewed and summarized the latest data on the use and outcomes of bariatric surgery for the management of morbid obesity. The rise of bariatric surgery parallels the rising rates of obesity in the United States. Drs. Wolfe and Gilbert point out, "In 1990, not one state had a prevalence of obesity greater than 15 percent, whereas in 2009, only Colorado and the District of Columbia had prevalence less than 20 percent."

Obesity increases the risk of a wide range of chronic health problems -- highlighted by the recent surge in diabetes among overweight and obese children and adolescents. "Not only is obesity a significant risk factor for many [diseases], but it also is associated with an overall increase in mortality and a reduction in life span of 10 years," the authors write. Currently, bariatric surgery is considered for patients who are unable to achieve a five percent decrease in weight with diet and lifestyle modifications.

Drs. Wolfe and Gilbert review the three main options for bariatric surgery: adjustable gastric banding, sleeve gastrectomy, and "Roux-en-Y" gastric bypass. The expected percentage of excess weight loss is about 48 percent after adjustable gastric banding and 61 percent after sleeve gastrectomy and gastric bypass.

Gastric bypass is the most popular procedure because it results in greater weight loss and less weight regain. It also performs best in terms of resolving obesity-related diseases, such as diabetes, high cholesterol and high blood pressure. However, gastric banding is a reversible procedure that causes fewer long-term metabolic problems.

…And Rising Demand for Body Contouring

It's especially important for plastic surgeons to understand the concepts and outcomes of bariatric surgery procedures, as there is a fast-growing population of patients seeking body contouring surgery. Body contouring refers to several different types of plastic surgery procedures done to remove excess fat and skin in patients after massive weight loss. ASPS statistics show sharp increases in the demand for body-contouring procedures -- such as lower body lift, upper arm lift, and abdominoplasty ("tummy tuck") over the past decade.

In general, body contouring should be delayed until weight has stabilized for at least three months -- which may take a year or longer after surgery, according to Drs. Wolfe and Gilbert. They emphasize the need to carefully screen patients for ongoing medical issues such as diabetes, heart disease or obstructive sleep apnea. Nutritional deficiencies are also common after bariatric surgery, including protein malnutrition and deficient levels of nutrients such as vitamin B12, vitamin D, iron, calcium and folate. All of these conditions should be identified and corrected before body contouring is performed.

"Given the increasing incidence of morbid obesity and the effectiveness of bariatric surgery in treating this disease, it will likely continue to increase in popularity," Drs. Wolfe and Gilbert conclude. They believe that the growth of bariatric surgery may increase even further as the overall safety profile continues to improve. In addition, the number of adolescent patients undergoing surgical treatment for obesity is likely to increase as future studies verify the safety of bariatric surgery in this age group.


Story Source:

The above story is based on materials provided by Wolters Kluwer Health: Lippincott Williams & Wilkins. Note: Materials may be edited for content and length.


Journal Reference:

  1. Gilbert, Erin W. and Wolfe, Bruce M. Bariatric Surgery for the Management of Obesity: State of the Field. Plastic & Reconstructive Surgery, October 2012 - Volume 130 - Issue 4 - p 948%u2013954 DOI: 10.1097/PRS.0b013e318262f566

Cite This Page:

Wolters Kluwer Health: Lippincott Williams & Wilkins. "Obesity epidemic means bariatric surgery rates continue to rise, reports plastic and reconstructive surgery." ScienceDaily. ScienceDaily, 2 October 2012. <www.sciencedaily.com/releases/2012/10/121002143453.htm>.
Wolters Kluwer Health: Lippincott Williams & Wilkins. (2012, October 2). Obesity epidemic means bariatric surgery rates continue to rise, reports plastic and reconstructive surgery. ScienceDaily. Retrieved December 22, 2014 from www.sciencedaily.com/releases/2012/10/121002143453.htm
Wolters Kluwer Health: Lippincott Williams & Wilkins. "Obesity epidemic means bariatric surgery rates continue to rise, reports plastic and reconstructive surgery." ScienceDaily. www.sciencedaily.com/releases/2012/10/121002143453.htm (accessed December 22, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Monday, December 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Christmas Kissing Good for Health

Christmas Kissing Good for Health

Reuters - Innovations Video Online (Dec. 22, 2014) — Scientists in Amsterdam say couples transfer tens of millions of microbes when they kiss, encouraging healthy exposure to bacteria. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Brain-Dwelling Tapeworm Reveals Genetic Secrets

Brain-Dwelling Tapeworm Reveals Genetic Secrets

Reuters - Innovations Video Online (Dec. 22, 2014) — Cambridge scientists have unravelled the genetic code of a rare tapeworm that lived inside a patient's brain for at least four year. Researchers hope it will present new opportunities to diagnose and treat this invasive parasite. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Touch-Free Smart Phone Empowers Mobility-Impaired

Touch-Free Smart Phone Empowers Mobility-Impaired

Reuters - Innovations Video Online (Dec. 21, 2014) — A touch-free phone developed in Israel enables the mobility-impaired to operate smart phones with just a movement of the head. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Earthworms Provide Cancer-Fighting Bacteria

Earthworms Provide Cancer-Fighting Bacteria

Reuters - Innovations Video Online (Dec. 21, 2014) — Polish scientists isolate bacteria from earthworm intestines which they say may be used in antibiotics and cancer treatments. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins