ABSTRACT
Background: bariatric surgery refers to a series of weight loss procedures that an obese individual can have in order to reduce their food intake, therefore causing them to lose weight. Obese patients lose more weight with bariatric surgery than with medical weight-loss treatment. The laparoscopic Roux-en-Y gastric bypass procedure results in more short-term weight loss than laparoscopic adjustable gastric banding, but the latter has fewer postoperative complications and a lower mortality rate; long-term comparative data are currently lacking. The decision regarding which procedure to perform should be based on individual patient and surgeon factors
Aim and Intervention of the study: to review the history of bariatric surgery in order to compare the different bariatric operations, to list the current indications for these procedures, to evaluate the outcomes, and to consider the risks
Position: a critical review of controlled randomized studies has provided evidence that bariatric surgery produces durable weight loss exceeding 100 lb [46 kg], full and long-term remission of type 2 diabetes in over 80% with salutary effects on the other comorbidities as well with significant reductions in all-cause mortality
Conclusion: bariatric surgery is the therapy of choice for patients with severe obesity
ABSTRACT
Background: Ulcerative colitis [UC] patients failing medical management require colectomy
Methods: Literature search in MEDLINE , CINAHL and Embase, targeting studies reporting the outcomes of colorectal procedures [from 2002 to 2016 with total and subtotal colectomy postoperative complications in adults with ulcerative colitis as an endpoint. Texts and authoritative Web sites were also reviewed then identification of papers according to the inclusion and exclusion criteria and data extraction were performed by two independent researchers
Results: Following data extraction and synthesis, we identified 24 articles for review. Reporting outcomes from procedures conducted from 2002-2016. Most frequent short-term complications: infectious complications and ileus [mean incidence 21% and 19%], while most frequent long-term complications: pouchitis, fecal incontinence and small bowel obstruction [mean incidence 31%, 22% and 18%]. Post-operative early complications [
Conclusion: Although Colectomy remains an appropriate therapeutic strategy for specific groups of patients- it is not the optimal cure for UC. Clinicians need to fully understand the various postoperative complications and comorbidities that are highly prevalent with over a third of patients expected to experience long-term or late arising post-operative complications. Thus, while surgical procedures are recommended as an appropriate therapeutic strategy for a specific group of patients, the post-operative complications associated with these surgical procedures should not be underestimated