Surgery for Severe Obesity

Robert F. Kushner, Lisa M. Neff

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Bariatric surgery has been demonstrated to be an effective treatment for patients with severe obesity, producing improvements in many comorbid conditions, including type 2 diabetes, hypertension, obstructive sleep apnea, and dyslipidemia. The loss of body weight and resolution of comorbidities have been more recently found to be the result of functional and metabolic changes produced by the surgical procedures. Nonetheless, bariatric surgery is still considered to be a tool that is supported by health behaviors characteristic of all weight loss programs-that is, adoption of healthy eating patterns, engagement in robust physical activity, and implementation of constructive coping strategies. In addition, patients who undergo bariatric surgery face challenges that are particular to this population, including adjustment to rapid and significant reduction in body weight, forced alterations in eating behavior, and risk of alcohol misuse. This state-of-the-art review focuses on the research and resultant recommendations regarding lifestyle management for patients who have undergone bariatric surgery.

Original languageEnglish (US)
Pages (from-to)255-264
Number of pages10
JournalAmerican Journal of Lifestyle Medicine
Volume7
Issue number4
DOIs
StatePublished - Jul 2013

Keywords

  • Roux-en-Y gastric bypass
  • bariatric surgery
  • diet
  • laparoscopic adjustable gastric banding
  • physical activity
  • weight loss surgery

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy
  • Public Health, Environmental and Occupational Health

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