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Obesity Surgery
Erschienen in: Obesity Surgery 12/2017

23.10.2017 | Review Article

Bariatric Surgery Resistance: Using Preoperative Lifestyle Medicine and/or Pharmacology for Metabolic Responsiveness

verfasst von: Nicole M. Gilbertson, Andrew S. Paisley, Sibylle Kranz, Arthur Weltman, Jennifer L. Kirby, Peter T. Hallowell, Steven K. Malin

Erschienen in: Obesity Surgery | Ausgabe 12/2017

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Abstract

Bariatric surgery is an effective and durable treatment for individuals with obesity and its associated comorbidities. However, not all patients meet weight loss and/or cardiometabolic goals following bariatric surgery, suggesting that some people are bariatric surgery resistant. The reason for this resistance is unclear, but potential factors, such as adiposity-derived inflammation, insulin resistance, hyperglycemia, and aerobic fitness prior to surgery, have been related to blunted surgery responsiveness. Exercise, diet, and/or pharmacology are effective at reducing inflammation and improving insulin action as well as physical function. Herein, we present data that supports the novel hypothesis that intervening prior to surgery can enhance disease resolution in people who are resistant to bariatric surgery.
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Metadaten
Titel
Bariatric Surgery Resistance: Using Preoperative Lifestyle Medicine and/or Pharmacology for Metabolic Responsiveness
verfasst von
Nicole M. Gilbertson
Andrew S. Paisley
Sibylle Kranz
Arthur Weltman
Jennifer L. Kirby
Peter T. Hallowell
Steven K. Malin
Publikationsdatum
23.10.2017
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 12/2017
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2966-1

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