@article{ref1,
title="Long-term complications after gastric bypass and sleeve gastrectomy: What information to give to patients and practitioners, and why?",
journal="Journal of visceral surgery",
year="2022",
author="Augé, M. and Menahem, B. and Savey, V. and Lee Bion, A. and Alves, A.",
volume="159",
number="4",
pages="298-308",
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.<p /><p>Language: en</p>",
language="en",
issn="1878-7886",
doi="10.1016/j.jviscsurg.2022.02.004",
url="http://dx.doi.org/10.1016/j.jviscsurg.2022.02.004"
}