Advantages of bariatric medicine for individualized prevention and treatments: multidisciplinary approach in body culture and prevention of obesity and diabetes

• DOI: 10.1007/s13167-011-0099-5
• Publication Date: 2011-07-13T12:27:33Z
• Authors: Dimiter V. Dimitrov; Valkan Ivanov; Maria Atanasova
• Keywords: Biliopancreatic Diversion; Guideline; Sleeve gastrectomy; Gastric banding

Bariatric surgery is a component of the multimodal treatment obesity, which consists multidisciplinary evaluation and diagnosis, conservative surgical treatments, lifelong follow-up care. The current guideline extends BMI-based spectrum indications that was previously proposed (BMI greater than 40 kg/m(2), or 35 kg/m(2) with secondary diseases) by eliminating age limits, as well most contraindications. A prerequisite for structured, weight-loss program has failed considered to be futile. Type 2 diabetes now an independent indication under clinical study conditions patients whose BMI less (metabolic surgery). standard laparoscopic techniques are gastric banding, bypass, sleeve gastrectomy, biliopancreatic diversion. choice procedures based on knowledge results, long-term effects, complications, individual circumstances. Structured should provided should, in particular, prevent metabolic deficiencies.