THE ROAD FROM BARIATRIC SURGERY TO METABOLIC SURGERY. FAR AWAY FROM AN AESTHETIC SURGERY: EVIDENCE AND DISCUSSIONS
bariatric surgery to metabolic surgery
According to the WHO 2012 report, the top 10 causes of death worldwide are: ischemic heart disease, stroke, chronic obstructive pulmonary disease, respiratory infections, lung cancer, HIV / AIDS, diarrhea colitis, diabetes, traffic accidents and hypertensive disease. What can many of these have in common? Increased incidence among the obese population. We are currently talking about the beginning of a new era, that of an obesity epidemic, in the last 30 years there has been a sustained increase in BMI among the global population, this phenomenon turning into a real health crisis. In 2008, the WHO confirmed the doubling of the incidence of obesity worldwide, compared to 1980, estimating for Europe that> 50% of the adult population is overweight, of which 23% of women and 20% of men have varying degrees of obesity. In this article, we will review the literature regarding the options and health benefits of bariatric surgery which by current evidence should be considered metabolic surgery. Although in the beginning these interventions were focused on the aesthetic benefits, now they are shifting more and more metabolic benefits.
The field of metabolic surgery is one in expansion and with vast possibilities of evolution. Additional studies are needed to establish criteria for inclusion in surgical groups and to choose the optimal procedure for each patient.
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