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Erschienen in: Surgical Endoscopy 2/2006

01.04.2006

Laparoscopic bariatric surgery

verfasst von: B. Schirmer

Erschienen in: Surgical Endoscopy | Sonderheft 2/2006

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Abstract

Laparoscopy has meant profound changes for the field of bariatric surgery. Bariatric operations, which are technically difficult because of the patient population, were not performed laparoscopically until the last 5 years of the 20th century. The years 1998 to 2003, herein defined as the Bariatric Revolution, saw profound changes in the way bariartric surgery was practiced. Major changes in patient education, public awareness, patient enthusiasm, popularity of the surgery, and academic acceptance of bariatric surgery occurred during this time. This led to such a massive increase in procedures performed that there was a reactionary movement by insurers to deny coverage for these procedures. Limitation of access to care and other important socioeconomic issues are now being debated and confronted in the bariatric arena. Recommendations for the field are suggested. The outcomes of these controversies will potentially have a profound impact on all of surgery.
Literatur
1.
Zurück zum Zitat Buchwald H., Buchwald JN (2002) Evolution of operative procedures for the management of morbid obesity. Obes Surg 12: 705–717PubMed Buchwald H., Buchwald JN (2002) Evolution of operative procedures for the management of morbid obesity. Obes Surg 12: 705–717PubMed
2.
Zurück zum Zitat Deitel M (ed.) (1989) Surgery for the morbidly obese patient. Lea & Febiger, Philadelphia, pp 81–302 Deitel M (ed.) (1989) Surgery for the morbidly obese patient. Lea & Febiger, Philadelphia, pp 81–302
3.
Zurück zum Zitat DeWind LT, Payne JH (1976) Intestinal bypass surgery for morbid obesity: long-term results. JAMA 236: 2298–2301CrossRefPubMed DeWind LT, Payne JH (1976) Intestinal bypass surgery for morbid obesity: long-term results. JAMA 236: 2298–2301CrossRefPubMed
4.
Zurück zum Zitat Zollinger RW, Coccia MR, Zollinger RW II (1983) Critical analysis of jejunoileal bypass. Am J Surg 146: 626–630CrossRefPubMed Zollinger RW, Coccia MR, Zollinger RW II (1983) Critical analysis of jejunoileal bypass. Am J Surg 146: 626–630CrossRefPubMed
5.
Zurück zum Zitat Scopinaro N, Adami GF, Marinari GM, et al (1998) Biliopancreatic diversion. World J Surg 22: 936–946CrossRefPubMed Scopinaro N, Adami GF, Marinari GM, et al (1998) Biliopancreatic diversion. World J Surg 22: 936–946CrossRefPubMed
6.
Zurück zum Zitat Hess DS, Hess DW (1998) Biliopancreatic diversion with a duodenal switch. Obes Surg 8: 267–282 Hess DS, Hess DW (1998) Biliopancreatic diversion with a duodenal switch. Obes Surg 8: 267–282
7.
Zurück zum Zitat Marceau DS, Marceau P, Hould FS, Simard S, et al (1998) Biliopancreatic diversion with duodenal switch. World J Surg 22: 947–954CrossRefPubMed Marceau DS, Marceau P, Hould FS, Simard S, et al (1998) Biliopancreatic diversion with duodenal switch. World J Surg 22: 947–954CrossRefPubMed
8.
Zurück zum Zitat Buchwald H, Williams SE (2004) Bariatric surgery worldwide 2003. Obes Surg 14: 1157–1164PubMed Buchwald H, Williams SE (2004) Bariatric surgery worldwide 2003. Obes Surg 14: 1157–1164PubMed
9.
Zurück zum Zitat Mason EE (1982) Vertical banded gastroplasty. Arch Surg 117: 701–706PubMed Mason EE (1982) Vertical banded gastroplasty. Arch Surg 117: 701–706PubMed
10.
Zurück zum Zitat Brolin RE, Robertson LB, Kenler HA, et al (1994) Weight loss and dietary intake after vertical banded gasytroplasty and Roux-en-Y gastric bypass. Ann Surg 220: 782–790PubMed Brolin RE, Robertson LB, Kenler HA, et al (1994) Weight loss and dietary intake after vertical banded gasytroplasty and Roux-en-Y gastric bypass. Ann Surg 220: 782–790PubMed
11.
Zurück zum Zitat Kuzmak LI (1991) A review of seven years experience with silicone gastric banding. Obes Surg 1: 403–408PubMed Kuzmak LI (1991) A review of seven years experience with silicone gastric banding. Obes Surg 1: 403–408PubMed
12.
Zurück zum Zitat Mason EE, Itoh C (1969) Gastric bypass in obesity. Surg Clin North Am 47: 1345–1351 Mason EE, Itoh C (1969) Gastric bypass in obesity. Surg Clin North Am 47: 1345–1351
13.
Zurück zum Zitat Griffen WO, Young VL, Stevenson CC (1977) A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. Ann Surg 2: 500–509 Griffen WO, Young VL, Stevenson CC (1977) A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. Ann Surg 2: 500–509
14.
Zurück zum Zitat NIH Consensus Conference (1992) Gastrointestinal surgery for severe obesity. National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 55(Suppl 2): S615–S619 NIH Consensus Conference (1992) Gastrointestinal surgery for severe obesity. National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 55(Suppl 2): S615–S619
15.
Zurück zum Zitat Jones DB, Provost DA, DeMaria EJ, et al (2004) Optimal management of the morbidly obese patient. SAGES appropriateness conference statement. Surg Endosc 18: 1029–1037CrossRefPubMed Jones DB, Provost DA, DeMaria EJ, et al (2004) Optimal management of the morbidly obese patient. SAGES appropriateness conference statement. Surg Endosc 18: 1029–1037CrossRefPubMed
16.
Zurück zum Zitat Buchwald H (2005) Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Consensus Conference Statement. Surg Obes Rel Dis 1: 371–381 Buchwald H (2005) Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Consensus Conference Statement. Surg Obes Rel Dis 1: 371–381
17.
Zurück zum Zitat Belachew M, Legrand MJ, Defechereux TH, et al (1994) Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity: a preliminary report. Surg Endosc 8: 1354–1356CrossRefPubMed Belachew M, Legrand MJ, Defechereux TH, et al (1994) Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity: a preliminary report. Surg Endosc 8: 1354–1356CrossRefPubMed
18.
Zurück zum Zitat Ren CJ, Cabrera I, Rajaram K, Fielding GA (2005) Factors influencing patient choice for bariatric operation. Obes Surg 15: 202–206CrossRefPubMed Ren CJ, Cabrera I, Rajaram K, Fielding GA (2005) Factors influencing patient choice for bariatric operation. Obes Surg 15: 202–206CrossRefPubMed
19.
Zurück zum Zitat Wittgrove AC, Clark WG, Tremblay LJ (1994) Laparoscopic gastric bypass, Roux en-Y: preliminary report of five cases. Obes Surg 4: 353–357CrossRefPubMed Wittgrove AC, Clark WG, Tremblay LJ (1994) Laparoscopic gastric bypass, Roux en-Y: preliminary report of five cases. Obes Surg 4: 353–357CrossRefPubMed
20.
Zurück zum Zitat Schauer PR, Ikramuddin S, Gourash W, et al (2000) Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 232: 515–529PubMed Schauer PR, Ikramuddin S, Gourash W, et al (2000) Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 232: 515–529PubMed
21.
Zurück zum Zitat Nguyen NT, Goldman C, Rosenquist CJ, et al (2001) Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234: 279–291CrossRefPubMed Nguyen NT, Goldman C, Rosenquist CJ, et al (2001) Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234: 279–291CrossRefPubMed
22.
Zurück zum Zitat Westling A, Gustavsson S (2001) Laparoscopic versus open Roux-en-Y gastric bypass: a prospective, randomized trial. Obes Surg 11: 284–292CrossRefPubMed Westling A, Gustavsson S (2001) Laparoscopic versus open Roux-en-Y gastric bypass: a prospective, randomized trial. Obes Surg 11: 284–292CrossRefPubMed
23.
Zurück zum Zitat Schneider BE, Villegas L, Blackburn GL, et al (2003) Laparoscopic gastric bypass surgery: outcomes. J Laparoendosc Adv Surg Tech A 13: 247–255CrossRefPubMed Schneider BE, Villegas L, Blackburn GL, et al (2003) Laparoscopic gastric bypass surgery: outcomes. J Laparoendosc Adv Surg Tech A 13: 247–255CrossRefPubMed
24.
Zurück zum Zitat Courcoulas A, Perry Y, Buenaventura P, Luketich J (2003) Comparing the outcomes after laparoscopic versus open gastric bypass: a matched paired analysis. Obes Surg 13: 341–346CrossRefPubMed Courcoulas A, Perry Y, Buenaventura P, Luketich J (2003) Comparing the outcomes after laparoscopic versus open gastric bypass: a matched paired analysis. Obes Surg 13: 341–346CrossRefPubMed
25.
Zurück zum Zitat Nguyen NT, Lee ST, Goldman C, et al (2001) Comparison of pulmonary function and postoperative pain after laparoscopic versus open gastric bypass: a randomized trial. J Am Coll Surg 192: 469–476PubMed Nguyen NT, Lee ST, Goldman C, et al (2001) Comparison of pulmonary function and postoperative pain after laparoscopic versus open gastric bypass: a randomized trial. J Am Coll Surg 192: 469–476PubMed
26.
Zurück zum Zitat Brolin RE (2005) Postoperative complications in the context of risk: benefit. Surg Obes Rel Dis 1: 343–347 Brolin RE (2005) Postoperative complications in the context of risk: benefit. Surg Obes Rel Dis 1: 343–347
27.
Zurück zum Zitat Ren CJ, Patterson E, Gagner M (2000) Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg 10: 514–523CrossRefPubMed Ren CJ, Patterson E, Gagner M (2000) Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg 10: 514–523CrossRefPubMed
28.
Zurück zum Zitat Milone L, Strong V, Gagner M (2005) Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first-stage procedure for super-obese patients (BMI ≥ 50). Obes Surg 15: 612–617CrossRefPubMed Milone L, Strong V, Gagner M (2005) Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first-stage procedure for super-obese patients (BMI ≥ 50). Obes Surg 15: 612–617CrossRefPubMed
29.
Zurück zum Zitat Baltasar A, Serra C, Perez N, et al. (2005) Laparoscopic sleeve gastrectomy: a multipurpose bariatric operation. Obes Surg 15: 1124–1128CrossRefPubMed Baltasar A, Serra C, Perez N, et al. (2005) Laparoscopic sleeve gastrectomy: a multipurpose bariatric operation. Obes Surg 15: 1124–1128CrossRefPubMed
30.
Zurück zum Zitat Santry H, Gillen DL, Lauderdale DS (2005) Trends in bariatric surgical procedures. JAMA 294: 1909–1917CrossRefPubMed Santry H, Gillen DL, Lauderdale DS (2005) Trends in bariatric surgical procedures. JAMA 294: 1909–1917CrossRefPubMed
31.
Zurück zum Zitat Blue Cross and Blue Shield Association’s Technology Evaluation Center (2003) Newer techniques in bariatric surgery for morbid obesity. http://WWW.bluecares.com assessment program, 18 Blue Cross and Blue Shield Association’s Technology Evaluation Center (2003) Newer techniques in bariatric surgery for morbid obesity. http://​WWW.​bluecares.​com assessment program, 18
32.
Zurück zum Zitat Flum DR, Dellinger EP (2004) Impact of gastric bypass operation on survival: a population-based analysis. J Am Coll Surg 199: 543–551CrossRefPubMed Flum DR, Dellinger EP (2004) Impact of gastric bypass operation on survival: a population-based analysis. J Am Coll Surg 199: 543–551CrossRefPubMed
33.
Zurück zum Zitat Liu JH, Zingmond D, Etzioni DA, et al (2003) Characterizing the performance and outcomes of obesity surgery in California. Am Surg 69: 823–828PubMed Liu JH, Zingmond D, Etzioni DA, et al (2003) Characterizing the performance and outcomes of obesity surgery in California. Am Surg 69: 823–828PubMed
34.
Zurück zum Zitat Flum DR, Salem L, Elrod JAB, et al (2005) Early mortality among Medicare beneficiaries undergoing bariatric surgical procedures. JAMA 294: 1903–1908CrossRefPubMed Flum DR, Salem L, Elrod JAB, et al (2005) Early mortality among Medicare beneficiaries undergoing bariatric surgical procedures. JAMA 294: 1903–1908CrossRefPubMed
35.
Zurück zum Zitat Buchwald H, Avidor Y, Braunwald E, et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292: 1724–1737CrossRefPubMed Buchwald H, Avidor Y, Braunwald E, et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292: 1724–1737CrossRefPubMed
36.
Zurück zum Zitat Maggard MA, Shugarman LR, Suttorp M, et al (2005) Meta-analysis: surgical treatment of obesity. Ann Int Med 142: 547–559PubMed Maggard MA, Shugarman LR, Suttorp M, et al (2005) Meta-analysis: surgical treatment of obesity. Ann Int Med 142: 547–559PubMed
37.
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: 416–423PubMed 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: 416–423PubMed
38.
Zurück zum Zitat Rendon SE, Pories WJ (2005) Quality assurance in bariatric surgery. Surg Clin North Am 85: 757–771CrossRefPubMed Rendon SE, Pories WJ (2005) Quality assurance in bariatric surgery. Surg Clin North Am 85: 757–771CrossRefPubMed
40.
Zurück zum Zitat Khuri SF, Henderson WG, DePalma RG, et al (2005) Participants in the VA National Surgical Quality Improvement Program: determinants of long-term survival after major surgery and adverse effect of postoperative complications. Ann Surg 242: 326–341PubMed Khuri SF, Henderson WG, DePalma RG, et al (2005) Participants in the VA National Surgical Quality Improvement Program: determinants of long-term survival after major surgery and adverse effect of postoperative complications. Ann Surg 242: 326–341PubMed
41.
Zurück zum Zitat Sampalis JS, Liberman M, Auger S, Christou NV (2004) The impact of weight-reduction surgery on health-care costs in morbidly obese patients. Obes Surg 14: 939–947CrossRefPubMed Sampalis JS, Liberman M, Auger S, Christou NV (2004) The impact of weight-reduction surgery on health-care costs in morbidly obese patients. Obes Surg 14: 939–947CrossRefPubMed
42.
Zurück zum Zitat Salem L, Jensen CC, Flum DR (2005) Are bariatric surgical outcomes worth their cost? a systematic review. J Am Coll Surg 200: 270–278CrossRefPubMed Salem L, Jensen CC, Flum DR (2005) Are bariatric surgical outcomes worth their cost? a systematic review. J Am Coll Surg 200: 270–278CrossRefPubMed
43.
Zurück zum Zitat Mokdad AH, Ford ES, Bowman BA, et al (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289: 76–79CrossRefPubMed Mokdad AH, Ford ES, Bowman BA, et al (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289: 76–79CrossRefPubMed
44.
Zurück zum Zitat Mensah GA, Mokdad AH, Ford E, et al (2004) Obesity, metabolic syndrome, and type 2 diabetes: emerging epidemics and their cardiovascular implications. Cardiol Clin 22: 485–504CrossRefPubMed Mensah GA, Mokdad AH, Ford E, et al (2004) Obesity, metabolic syndrome, and type 2 diabetes: emerging epidemics and their cardiovascular implications. Cardiol Clin 22: 485–504CrossRefPubMed
Metadaten
Titel
Laparoscopic bariatric surgery
verfasst von
B. Schirmer
Publikationsdatum
01.04.2006
Erschienen in
Surgical Endoscopy / Ausgabe Sonderheft 2/2006
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-006-0055-y

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