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Bariatric surgery as a treatment for metabolic syndrome

Cordero, P; Li, J; Oben, JA; (2017) Bariatric surgery as a treatment for metabolic syndrome. Journal of the Royal College of Physicians of Edinburgh , 47 (4) pp. 364-368. 10.4997/JRCPE.2017.414. Green open access

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Abstract

Obesity is the pandemic of the 21st century. Obesity comorbidities, including hypertension, dyslipidaemia and glucose intolerance define metabolic syndrome, which increases mortality risk and decreases the quality of life. Compared with lifestyles (diet and physical activity) and pharmacological interventions, bariatric surgery is by far the most effective treatment for obesity and its comorbidities. This minimally invasive surgical treatment is based on an increase of satiety (by hormonal regulation and decreasing stomach volume) or a decrease in nutrient retention (gastric and/or intestinal resection). Bariatric surgery has widely demonstrated a beneficial effect on excess body weight loss, cardiovascular risk, dyslipidaemia, non-alcoholic fatty liver disease or glucose homeostasis, among other obesity-related metabolic diseases. This review describes current efforts for the implementation of bariatric surgery in metabolic syndrome, which are mainly focused on the formulation of key definition criteria for targeting the most suitable population for this therapeutic approach. Patients should undergo appropriate nutritional and psychological follow up in order to achieve and maintain weight loss milestones and a healthy metabolic status.

Type: Article
Title: Bariatric surgery as a treatment for metabolic syndrome
Open access status: An open access version is available from UCL Discovery
DOI: 10.4997/JRCPE.2017.414
Publisher version: https://www.rcpe.ac.uk/sites/default/files/jrcpe_4...
Language: English
Additional information: Copyright © 2017, Royal College of Physicians of Edinburgh. This is an open access journal which means that all content is freely available immediately upon publication without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author.
Keywords: bariatric surgery, diabetes, dyslipidaemia, hypertension, metabolic syndrome, obesity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10041168
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