The SAGES Manual of Bariatric Surgery by Kevin M. Reavis Allison M. Barrett & Matthew D. Kroh

Author:Kevin M. Reavis, Allison M. Barrett & Matthew D. Kroh
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Comorbidity Resolution

Bariatric surgery is the most effective treatment for obesity-related comorbidities. Reviewing the comparative surgical effectiveness on each comorbidity is outside the scope of this chapter. Instead, we will focus on those comorbidities well-detailed in the available RCT literature. These include diabetes, hypertension, and dyslipidemia. In addition, given the controversial and potentially differential impact of different bariatric procedures on gastroesophageal reflux (GERD), it will also be discussed in this section. Remission rates for obstructive sleep apnea are offered in Tables 29.1 and 29.2; however, given the lack of good quality evidence and standard reporting, these will not be addressed further in this chapter [19, 28, 33, 35–39]. In interpreting these data, it is important to note that most of the existent literature utilizes subjective criteria rather than postoperative polysomnography to define remission. Ultimately, obesity is also a risk factor for many other comorbidities including several cancers, joint pathology, polycystic ovarian syndrome, urinary incontinence, female infertility, nonalcoholic steatohepatitis, and psychological disorders [40–52]. Although comparative data on these are lacking, many of these conditions have been noted to improve following bariatric surgery [51–66].

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