Role of the gastroenterologist in the management of the obese patient

Gastroenterol Hepatol. 2017 Jun-Jul;40(6):409-416. doi: 10.1016/j.gastrohep.2016.08.001. Epub 2016 Oct 13.
[Article in English, Spanish]

Abstract

Obesity is a highly prevalent disease worldwide, and one in which gastroenterologists can play an important role. Some digestive diseases are more common in obese patients, and preoperative evaluation may be required in some cases. Additionally, bariatric surgery can lead to digestive complications in the short and long term that require intervention, and endoscopic treatment can be an important factor in weight loss. The aim of this review is to highlight the role of the gastroenterologist in the management of obese patients who are either scheduled for or have undergone surgical or endoscopic treatment for obesity.

Keywords: Aparato digestivo; Cirugía; Complicaciones; Complications; Digestive system; Endoscopia gastrointestinal; Gastrointestinal endoscopy; Morbid obesity; Obesidad mórbida; Surgery.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery* / adverse effects
  • Bariatric Surgery* / methods
  • Colorectal Neoplasms / etiology
  • Colorectal Neoplasms / therapy
  • Disease Management
  • Disease Susceptibility
  • Endoscopy, Digestive System
  • Gallstones / etiology
  • Gallstones / surgery
  • Gastroenterology*
  • Gastroesophageal Reflux / etiology
  • Gastroesophageal Reflux / therapy
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / prevention & control
  • Gastrointestinal Hemorrhage / therapy
  • Helicobacter Infections / complications
  • Helicobacter Infections / drug therapy
  • Helicobacter pylori
  • Humans
  • Non-alcoholic Fatty Liver Disease / etiology
  • Non-alcoholic Fatty Liver Disease / therapy
  • Obesity / complications
  • Obesity / therapy*
  • Obesity, Morbid / surgery
  • Physician's Role*
  • Postgastrectomy Syndromes / etiology
  • Postgastrectomy Syndromes / therapy
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Stomach Ulcer / drug therapy
  • Stomach Ulcer / etiology
  • Stomach Ulcer / surgery