Patient selection for bariatric surgery: a review of health outcomes, safety and the role of the MDT
- Advances in Obesity, Weight Management & Control
Tahir Omer,1,2 Ibrahim Souareldahab,3 Rama GA Hamid1
The pandemic of Obesity with its rapidly rising prevalence and burden on the health system, has become a major health concern. A variety of modifications including dietary, physical activity changes, behavioural in addition to pharmacotherapy interventions have been recommended for obesity management. Bariatric surgery has also been recommended for individuals with a Body Mass Index (BMI) exceeding or equal to 40 kg/m2 or in the range between 35 kg/m2 and 40 kg/m2 with a simultaneous significant comorbidity. Health practitioners often face the dilemma of patient selection when making a decision on bariatric surgical procedure suitability. This selection process is key to attaining good surgical outcome. Therefore, the input of a profecient multi- disciplinary team is crucial to the process. The following brief review is to point out the factors that influence the selection process. It describes the diverse bariatric surgical procedures available, discusses their efficacy, safety and complications rate, and emphasizes on the role of the MDT team in procedure selection according to patient characteristics.
obesity, bariatric surgery, pharmacotherapy interventions, physical activity