Training in Minimal Access Surgery by Nader Francis Abe Fingerhut Roberto Bergamaschi & Roger Motson

Author:Nader Francis, Abe Fingerhut, Roberto Bergamaschi & Roger Motson
Language: eng
Format: epub
Publisher: Springer London, London

Bariatric Operations and Surgical Technique

According to the current NICE guidelines, bariatric surgery is recommended as a treatment for adults if the BMI is at least 40 kg/m2, or 35 kg/m2 or more with a weight loss responsive disease (Table 7.1) [11]. It is considered as a first line treatment if the BMI is greater than 50 kg/m2 rather than repeating failed prior interventions. The operations were originally designed as restrictive or mal-absorptive procedures, but are now understood to alter the signalling mechanisms controlling appetite, satiety and glycaemic control.Table 7.1Obesity: NICE guideline [11]

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