Disorders associated with clinically severe obesity: significant improvement after surgical weight reduction

South Med J. 1998 Dec;91(12):1143-8. doi: 10.1097/00007611-199812000-00009.

Abstract

Background: Surgical treatment for patients with clinically severe obesity mainly aims to reduce morbidity.

Methods: Sixty-two patients were examined for disorders associated with morbid obesity before and after surgical weight reduction by vertical banded gastroplasty. All patients were followed-up for 12 to 48 months.

Results: At the end of the first postoperative year, 84% of the patients had lost at least 50% of their excess weight. Of the 218 weight-related pathologic conditions existing before the operation, 131 (60%) were completely cured, 50 (23%) showed significant improvement, and only 37 (17%) remained unchanged. The same percentages were obtained for patients followed tip for 24, 36, and 48 postoperative months.

Conclusions: Surgical treatment of clinically severe obesity has a significant effect on the health of the patients by eliminating the associated disorders.

MeSH terms

  • Adult
  • Arthritis / prevention & control
  • Biocompatible Materials
  • Blood Glucose / analysis
  • Body Mass Index
  • Female
  • Follow-Up Studies
  • Gastroesophageal Reflux / prevention & control
  • Gastroplasty / adverse effects
  • Gastroplasty / methods*
  • Humans
  • Hypertension / prevention & control
  • Insulin / blood
  • Male
  • Myocardial Ischemia / prevention & control
  • Obesity / complications*
  • Obesity / surgery
  • Polyethylenes
  • Polypropylenes
  • Polytetrafluoroethylene
  • Sleep Apnea Syndromes / prevention & control
  • Surgical Stapling
  • Triglycerides / blood
  • Venous Insufficiency / prevention & control
  • Weight Loss

Substances

  • Biocompatible Materials
  • Blood Glucose
  • Insulin
  • Plastipore
  • Polyethylenes
  • Polypropylenes
  • Triglycerides
  • Polytetrafluoroethylene