Tratamiento quirúrgico de la obesidad mórbida

Since the realization in 1991 of the National Institutes of Health Consensus Development Conference Draft Statement on Gastrointestinal Surgery for Severe Obesity, the bariatric surgery become accepted by the medical community as the most long-term efficient procedure for the treatment of morbid obesity. The surgical suggestion is based mainly in the Body Mass Index of the patient wight/height (kg/m2). Bariatric surgical techniques can be classified according to their main mechanism of action in: restrictives (adjustable gastric banding, sleeve gastrectomy, open vertical banded gastroplasty), malabsorptives: biliopancreatic derivation Scopinaro type or biliopancreatic derivation with duodenal switch (Marceau) and finally the Roux-en-Y gastric bypass. All these aspects are treated in the article.