Citation

Augé M, Menahem B, Savey V, Lee Bion A, Alves A. J. Visc. Surg. 2022; 159(4): 298-308.

Copyright

(Copyright © 2022, Elsevier Publishing)

DOI

10.1016/j.jviscsurg.2022.02.004

PMID

35304081

Abstract

Bariatric surgery is now recognized as the most effective treatment of morbid obesity, leading to durable weight loss and resolution of associated co-morbidities. Roux-en-Y gastric bypass and sleeve gastrectomy are the two most widely used operations today. However, potentially serious medical, surgical, and/or psychiatric complications can occur that raise questions regarding the benefits of this type of surgery. These complications can lead to surgical re-operations, iterative hospitalizations, severe nutritional deficiencies and psychological disorders. Indeed, death from suicide is said to be three times higher than in non-operated obese patients. These results are of concern, all the more because of the high prevalence of patients lost to follow-up (for various and multifactorial reasons) after bariatric surgery. However, better knowledge of post-surgical sequelae could improve the information provided to patients, the preoperative evaluation of the benefit/risk ratio, and, for patients undergoing surgery, the completeness and quality of follow-up as well as the detection and management of complications. The development of new strategies for postoperative follow-up such as telemedicine but also the mobilization of all the actors along the healthcare pathway can make inroads and warrant further study.

Language: en

Keywords

Humans; Retrospective Studies; Treatment Outcome; Bariatric surgery; Follow-up; Gastric bypass; Postoperative Complications; Gastrectomy; Laparoscopy; Sleeve gastrectomy; Weight Loss; Gastric Bypass; Long-term results; Lost to follow-up; Obesity, Morbid