Skip to main content
Erschienen in: World Journal of Surgery 10/2009

01.10.2009

Impact of Obesity and Bariatric Surgery on Survival

verfasst von: Nicolas V. Christou

Erschienen in: World Journal of Surgery | Ausgabe 10/2009

Einloggen, um Zugang zu erhalten

Abstract

Bariatric surgery is the only reliable treatment that offers sustained, long-term weight loss. This results in cure or improvement in almost all of the obesity-associated diseases and translates into reduction in the relative risk of death or increased longevity of the operated morbidly obese population. Since the treatment of obesity-associated conditions is very costly, bariatric surgery also results in significant reductions in healthcare costs with a return on investment of 3 years. It is not just weight loss, it is health gain.
Literatur
2.
Zurück zum Zitat Rapport du Groupe d’Experts en Santé Publique, Médecine et Chirurgie Bariatrique avec la Collaboration des Agences de la Santé de la Capitale Nationale, de la Mauricie-Centre-du-Québec et Montréal l’Organisation de la Médecine et Chirurgie Bariatriques au Québec (2007) 1:1 Rapport du Groupe d’Experts en Santé Publique, Médecine et Chirurgie Bariatrique avec la Collaboration des Agences de la Santé de la Capitale Nationale, de la Mauricie-Centre-du-Québec et Montréal l’Organisation de la Médecine et Chirurgie Bariatriques au Québec (2007) 1:1
3.
Zurück zum Zitat World Health Organization (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Org Tech Rep Ser 894: i-xii, 1-253 World Health Organization (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Org Tech Rep Ser 894: i-xii, 1-253
5.
Zurück zum Zitat Poirier P (2000) ER Aphorism 44: the heart and obesity. In: Hurst’s the heart. McGraw-Hill Professional, New York, p 83 Poirier P (2000) ER Aphorism 44: the heart and obesity. In: Hurst’s the heart. McGraw-Hill Professional, New York, p 83
6.
Zurück zum Zitat Hazards of obesity (1968) Nature 220:330 Hazards of obesity (1968) Nature 220:330
7.
Zurück zum Zitat Hill JO, Wyatt HR, Reed GW et al (2003) Obesity and the environment: where do we go from here? Science 299:853–855PubMedCrossRef Hill JO, Wyatt HR, Reed GW et al (2003) Obesity and the environment: where do we go from here? Science 299:853–855PubMedCrossRef
9.
Zurück zum Zitat Prentice AM, Hennig BJ, Fulford AJ (2008) Evolutionary origins of the obesity epidemic: natural selection of thrifty genes or genetic drift following predation release? Int J Obes (Lond) 32:1607–1610CrossRef Prentice AM, Hennig BJ, Fulford AJ (2008) Evolutionary origins of the obesity epidemic: natural selection of thrifty genes or genetic drift following predation release? Int J Obes (Lond) 32:1607–1610CrossRef
10.
Zurück zum Zitat Speakman JR (2008) Thrifty genes for obesity, an attractive but flawed idea, and an alternative perspective: the ‘drifty gene’ hypothesis. Int J Obes (Lond) 32:1611–1617CrossRef Speakman JR (2008) Thrifty genes for obesity, an attractive but flawed idea, and an alternative perspective: the ‘drifty gene’ hypothesis. Int J Obes (Lond) 32:1611–1617CrossRef
11.
Zurück zum Zitat James PT, Rigby N, Leach R (2004) The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil 11:3–8PubMedCrossRef James PT, Rigby N, Leach R (2004) The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil 11:3–8PubMedCrossRef
12.
Zurück zum Zitat Thygesen LC, Gronbaek M, Johansen C et al (2008) Prospective weight change and colon cancer risk in male US health professionals. Int J Cancer 123:1160–1165PubMedCrossRef Thygesen LC, Gronbaek M, Johansen C et al (2008) Prospective weight change and colon cancer risk in male US health professionals. Int J Cancer 123:1160–1165PubMedCrossRef
13.
Zurück zum Zitat Renehan AG, Tyson M, Egger M et al (2008) Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 371:569–578PubMedCrossRef Renehan AG, Tyson M, Egger M et al (2008) Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 371:569–578PubMedCrossRef
14.
Zurück zum Zitat Renehan AG, Roberts DL, Dive C (2008) Obesity and cancer: pathophysiological and biological mechanisms. Arch Physiol Biochem 114:71–83PubMedCrossRef Renehan AG, Roberts DL, Dive C (2008) Obesity and cancer: pathophysiological and biological mechanisms. Arch Physiol Biochem 114:71–83PubMedCrossRef
15.
16.
Zurück zum Zitat Raum E, Lietzau S, Stegmaier C et al (2008) For the majority of patients with diabetes, blood pressure and lipid management is not in line with recommendations. Results from a large population-based cohort in Germany. Pharmacoepidemiol Drug Saf 17:485–494PubMedCrossRef Raum E, Lietzau S, Stegmaier C et al (2008) For the majority of patients with diabetes, blood pressure and lipid management is not in line with recommendations. Results from a large population-based cohort in Germany. Pharmacoepidemiol Drug Saf 17:485–494PubMedCrossRef
17.
Zurück zum Zitat Nathan C (2008) Epidemic inflammation: pondering obesity. Mol Med 14:485–492PubMed Nathan C (2008) Epidemic inflammation: pondering obesity. Mol Med 14:485–492PubMed
18.
Zurück zum Zitat Hjartaker A, Langseth H, Weiderpass E (2008) Obesity and diabetes epidemics: cancer repercussions. Adv Exp Med Biol 630:72–93PubMedCrossRef Hjartaker A, Langseth H, Weiderpass E (2008) Obesity and diabetes epidemics: cancer repercussions. Adv Exp Med Biol 630:72–93PubMedCrossRef
19.
Zurück zum Zitat Hainer V, Toplak H, Mitrakou A (2008) Treatment modalities of obesity: what fits whom? Diabetes Care 31(Suppl 2):S269–S277PubMedCrossRef Hainer V, Toplak H, Mitrakou A (2008) Treatment modalities of obesity: what fits whom? Diabetes Care 31(Suppl 2):S269–S277PubMedCrossRef
21.
Zurück zum Zitat Mokdad AH, Marks JS, Stroup DF et al (2004) Actual causes of death in the United States, 2000. JAMA 291:1238–1245PubMedCrossRef Mokdad AH, Marks JS, Stroup DF et al (2004) Actual causes of death in the United States, 2000. JAMA 291:1238–1245PubMedCrossRef
22.
Zurück zum Zitat Tsai AG, Wadden TA (2005) Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med 142:56–66PubMed Tsai AG, Wadden TA (2005) Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med 142:56–66PubMed
24.
Zurück zum Zitat Anderson JW, Grant L, Gotthelf L et al (2007) Weight loss and long-term follow-up of severely obese individuals treated with an intense behavioral program. Int J Obes (Lond) 31:488–493CrossRef Anderson JW, Grant L, Gotthelf L et al (2007) Weight loss and long-term follow-up of severely obese individuals treated with an intense behavioral program. Int J Obes (Lond) 31:488–493CrossRef
25.
Zurück zum Zitat Anderson JW, Conley SB, Nicholas AS (2007) One hundred pound weight losses with an intensive behavioral program: changes in risk factors in 118 patients with long-term follow-up. Am J Clin Nutr 86:301–307PubMed Anderson JW, Conley SB, Nicholas AS (2007) One hundred pound weight losses with an intensive behavioral program: changes in risk factors in 118 patients with long-term follow-up. Am J Clin Nutr 86:301–307PubMed
26.
Zurück zum Zitat Fappa E, Yannakoulia M, Pitsavos C et al (2008) Lifestyle intervention in the management of metabolic syndrome: could we improve adherence issues? Nutrition 24:286–291PubMedCrossRef Fappa E, Yannakoulia M, Pitsavos C et al (2008) Lifestyle intervention in the management of metabolic syndrome: could we improve adherence issues? Nutrition 24:286–291PubMedCrossRef
27.
Zurück zum Zitat Grodstein F, Levine R, Troy L et al (1996) Three-year follow-up of participants in a commercial weight loss program. Can you keep it off? Arch Intern Med 156:1302–1306PubMedCrossRef Grodstein F, Levine R, Troy L et al (1996) Three-year follow-up of participants in a commercial weight loss program. Can you keep it off? Arch Intern Med 156:1302–1306PubMedCrossRef
28.
Zurück zum Zitat Sjostrom L, Lindroos AK, Peltonen M et al (2004) Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 351:2683–2693PubMedCrossRef Sjostrom L, Lindroos AK, Peltonen M et al (2004) Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 351:2683–2693PubMedCrossRef
29.
Zurück zum Zitat Christou NV, Look D, Maclean LD (2006) Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg 244:734–740PubMedCrossRef Christou NV, Look D, Maclean LD (2006) Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg 244:734–740PubMedCrossRef
30.
Zurück zum Zitat Brolin RE (2002) Bariatric surgery and long-term control of morbid obesity. JAMA 288:2793–2796PubMedCrossRef Brolin RE (2002) Bariatric surgery and long-term control of morbid obesity. JAMA 288:2793–2796PubMedCrossRef
32.
Zurück zum Zitat Buchwald H, Avidor Y, Braunwald E et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292:1724–1737PubMedCrossRef Buchwald H, Avidor Y, Braunwald E et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292:1724–1737PubMedCrossRef
33.
Zurück zum Zitat Buchwald H, Buchwald JN (2002) Evolution of operative procedures for the management of morbid obesity 1950–2000. Obes Surg 12:705–717PubMedCrossRef Buchwald H, Buchwald JN (2002) Evolution of operative procedures for the management of morbid obesity 1950–2000. Obes Surg 12:705–717PubMedCrossRef
34.
Zurück zum Zitat Biron S, Hould FS, Lebel S et al (2004) Twenty years of biliopancreatic diversion: what is the goal of the surgery? Obes Surg 14:160–164PubMedCrossRef Biron S, Hould FS, Lebel S et al (2004) Twenty years of biliopancreatic diversion: what is the goal of the surgery? Obes Surg 14:160–164PubMedCrossRef
35.
Zurück zum Zitat Fobi MA (2004) Surgical treatment of obesity: a review. J Natl Med Assoc 96:61–75PubMed Fobi MA (2004) Surgical treatment of obesity: a review. J Natl Med Assoc 96:61–75PubMed
36.
Zurück zum Zitat Pories WJ, Swanson MS, MacDonald KG et al (1995) Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 222:339–350 (discussion 350-332)PubMedCrossRef Pories WJ, Swanson MS, MacDonald KG et al (1995) Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 222:339–350 (discussion 350-332)PubMedCrossRef
37.
Zurück zum Zitat O’Brien PE, Dixon JB (2003) Lap-band: outcomes and results. J Laparoendosc Adv Surg Tech A 13:265–270PubMedCrossRef O’Brien PE, Dixon JB (2003) Lap-band: outcomes and results. J Laparoendosc Adv Surg Tech A 13:265–270PubMedCrossRef
38.
Zurück zum Zitat MacLean LD, Rhode BM, Sampalis J et al (1993) Results of the surgical treatment of obesity. Am J Surg 165:155–160 (discussion 160-152)PubMedCrossRef MacLean LD, Rhode BM, Sampalis J et al (1993) Results of the surgical treatment of obesity. Am J Surg 165:155–160 (discussion 160-152)PubMedCrossRef
39.
Zurück zum Zitat Christou NV, Sampalis JS, Liberman M et al (2004) Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg 240:416–423 (discussion 423-414)PubMedCrossRef Christou NV, Sampalis JS, Liberman M et al (2004) Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg 240:416–423 (discussion 423-414)PubMedCrossRef
40.
Zurück zum Zitat Christou N (2008) Bariatric surgery reduces cancer risk in morbidly obese patients. Surg Obes Relat Dis 4:691–695PubMedCrossRef Christou N (2008) Bariatric surgery reduces cancer risk in morbidly obese patients. Surg Obes Relat Dis 4:691–695PubMedCrossRef
41.
Zurück zum Zitat Craig BM, Tseng DS (2002) Cost-effectiveness of gastric bypass for severe obesity. Am J Med 113:491–498PubMedCrossRef Craig BM, Tseng DS (2002) Cost-effectiveness of gastric bypass for severe obesity. Am J Med 113:491–498PubMedCrossRef
42.
Zurück zum Zitat Hodo DM, Waller JL, Martindale RG et al (2008) Medication use after bariatric surgery in a managed care cohort. Surg Obes Relat Dis 4:601–607PubMedCrossRef Hodo DM, Waller JL, Martindale RG et al (2008) Medication use after bariatric surgery in a managed care cohort. Surg Obes Relat Dis 4:601–607PubMedCrossRef
43.
Zurück zum Zitat Sampalis JS, Liberman M, Auger S et al (2004) The impact of weight reduction surgery on health-care costs in morbidly obese patients. Obes Surg 14:939–947PubMedCrossRef Sampalis JS, Liberman M, Auger S et al (2004) The impact of weight reduction surgery on health-care costs in morbidly obese patients. Obes Surg 14:939–947PubMedCrossRef
44.
Zurück zum Zitat Cremieux PY, Buchwald H, Shikora SA et al (2008) A study on the economic impact of bariatric surgery. Am J Manag Care 14:589–596PubMed Cremieux PY, Buchwald H, Shikora SA et al (2008) A study on the economic impact of bariatric surgery. Am J Manag Care 14:589–596PubMed
45.
Zurück zum Zitat MacDonald KG Jr, Long SD, Swanson MS et al (1997) The gastric bypass operation reduces the progression and mortality of non-insulin-dependent diabetes mellitus. J Gastrointest Surg 1:213–220PubMedCrossRef MacDonald KG Jr, Long SD, Swanson MS et al (1997) The gastric bypass operation reduces the progression and mortality of non-insulin-dependent diabetes mellitus. J Gastrointest Surg 1:213–220PubMedCrossRef
46.
Zurück zum Zitat Sowemimo OA, Yood SM, Courtney J et al (2007) Natural history of morbid obesity without surgical intervention. Surg Obes Relat Dis 3:73–77 (discussion 77)PubMedCrossRef Sowemimo OA, Yood SM, Courtney J et al (2007) Natural history of morbid obesity without surgical intervention. Surg Obes Relat Dis 3:73–77 (discussion 77)PubMedCrossRef
47.
Zurück zum Zitat Sjostrom L, Narbro K, Sjostrom CD et al (2007) Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 357:741–752PubMedCrossRef Sjostrom L, Narbro K, Sjostrom CD et al (2007) Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 357:741–752PubMedCrossRef
48.
Zurück zum Zitat Adams TD, Gress RE, Smith SC et al (2007) Long-term mortality after gastric bypass surgery. N Engl J Med 357:753–761PubMedCrossRef Adams TD, Gress RE, Smith SC et al (2007) Long-term mortality after gastric bypass surgery. N Engl J Med 357:753–761PubMedCrossRef
49.
Zurück zum Zitat Peeters A, O’Brien PE, Laurie C et al (2007) Substantial intentional weight loss and mortality in the severely obese. Ann Surg 246:1028–1033PubMedCrossRef Peeters A, O’Brien PE, Laurie C et al (2007) Substantial intentional weight loss and mortality in the severely obese. Ann Surg 246:1028–1033PubMedCrossRef
50.
Zurück zum Zitat Busetto L, Mirabelli D, Petroni ML et al (2007) Comparative long-term mortality after laparoscopic adjustable gastric banding versus nonsurgical controls. Surg Obes Relat Dis 3:496–502 (discussion 502)PubMedCrossRef Busetto L, Mirabelli D, Petroni ML et al (2007) Comparative long-term mortality after laparoscopic adjustable gastric banding versus nonsurgical controls. Surg Obes Relat Dis 3:496–502 (discussion 502)PubMedCrossRef
51.
Zurück zum Zitat Flum DR, Dellinger EP (2004) Impact of gastric bypass operation on survival: a population-based analysis. J Am Coll Surg 199:543–551PubMedCrossRef Flum DR, Dellinger EP (2004) Impact of gastric bypass operation on survival: a population-based analysis. J Am Coll Surg 199:543–551PubMedCrossRef
52.
Zurück zum Zitat Perry CD, Hutter MM, Smith DB et al (2008) Survival and changes in comorbidities after bariatric surgery. Ann Surg 247:21–27PubMedCrossRef Perry CD, Hutter MM, Smith DB et al (2008) Survival and changes in comorbidities after bariatric surgery. Ann Surg 247:21–27PubMedCrossRef
53.
Zurück zum Zitat Marceau P, Biron S, Hould FS et al (2007) Duodenal switch: long-term results. Obes Surg 17:1421–1430PubMedCrossRef Marceau P, Biron S, Hould FS et al (2007) Duodenal switch: long-term results. Obes Surg 17:1421–1430PubMedCrossRef
54.
Zurück zum Zitat Pope GD, Finlayson SR, Kemp JA et al (2006) Life expectancy benefits of gastric bypass surgery. Surg Innov 13:265–273PubMedCrossRef Pope GD, Finlayson SR, Kemp JA et al (2006) Life expectancy benefits of gastric bypass surgery. Surg Innov 13:265–273PubMedCrossRef
Metadaten
Titel
Impact of Obesity and Bariatric Surgery on Survival
verfasst von
Nicolas V. Christou
Publikationsdatum
01.10.2009
Verlag
Springer-Verlag
Erschienen in
World Journal of Surgery / Ausgabe 10/2009
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-009-0050-2

Weitere Artikel der Ausgabe 10/2009

World Journal of Surgery 10/2009 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.