Bariatric surgery: Current techniques and results

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2013
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SPRINGER-VERLAG BERLIN HEIDELBERG
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Faintuch, J.; Souza, S. A. F.; Fabris, S. M.; Cecconello, I.. Bariatric surgery: Current techniques and results. In: . DISABLING OBESITY: FROM DETERMINANTS TO HEALTH CARE MODELS: SPRINGER-VERLAG BERLIN HEIDELBERG, 2013. p.221-231.
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Half a century ago obesity was not a public health problem, however, gastroduodenal ulcers were ubiquitous. Many gastrectomies were conducted at that time and patients eventually lost weight. That is how bariatric surgery commenced, naturally expanding to a variety of techniques and accesses. Success has been both bigger and smaller than expected. Yes, bariatric operations became so popular that they already represent one of the five most performed major operations in some countries. They are followed by strong secondary benefits particularly concerning diabetes remission, to the point that a new subspecialty has arisen, metabolic surgery for diabetes. No, they are not carefree and they have not solved the problem of severe obesity, at least from the epidemiological point of view. They were actually not designed to be a mass treatment. The pursuit of new therapeutic avenues and the reinforcement of old ones is still mandatory, if the worldwide obesity epidemic is to be curtailed. © 2013 Springer-Verlag Berlin Heidelberg. All rights are reserved.
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