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Review ArticlePractice

Bariatric surgery

A primer

Shahzeer Karmali, Carlene Johnson Stoklossa, Arya Sharma, Janet Stadnyk, Sandra Christiansen, Danielle Cottreau and Daniel W. Birch
Canadian Family Physician September 2010; 56 (9) 873-879;
Shahzeer Karmali
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  • For correspondence: shahzeer@ualberta.ca
Carlene Johnson Stoklossa
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Arya Sharma
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Janet Stadnyk
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Sandra Christiansen
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Danielle Cottreau
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Daniel W. Birch
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    Figure 1

    Bariatric surgical procedures: A) Laparoscopic adjustable gastric banding; B) vertical banded gastroplasty; C) laparoscopic sleeve gastrectomy; D) Roux-en-Y gastric bypass; E) biliopancreatic diversion; F) jejunoileal bypass.

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    Table 1.

    Weight loss after bariatric surgery

    PROCEDUREMAXIMUM TOTAL WEIGHT LOSS AFTER 1–2 Y, %AVERAGE TOTAL WEIGHT LOSS AFTER 10 Y,30 %EXCESS WEIGHT LOSS AFTER 8–12 MO, %
    Vertical banded gastroplasty253261.6
    Laparoscopic adjustable gastric banding203547.5
    Roux-en-Y gastric bypass3242NA
    Sleeve gastrectomyNANA40–46
    • NA—not available.

    • Data from Sjöström et al,15 Lim et al,20 Foster,21 Cummings et al,22 Micucci et al,23 and Seagle et al,24 and Gleysteen and Barboriak.25

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    Table 2.

    Follow-up recommendations after bariatric surgery

    PROCEDURE4–6 WKMONTHLY3 MO6 MO9 MO12 MO18 MOANNUALLY
    Laparoscopic adjustable gastric banding
    • Surgeon

    • Dietitian

    • Surgeon (band fill visit)

    • Dietitian

    • Dietitian

    • Laboratory examinations

    • Dietitian

    • Dietitian

    NA
    • Dietitian

    • Laboratory examinations

    Roux-en-Y gastric bypass
    • Surgeon

    • Dietitian

    NA
    • Surgeon

    • Dietitian

    • Laboratory examinations

    • Surgeon

    • Dietitian

    • Laboratory examinations

    • Surgeon

    • Dietitian

    • Surgeon

    • Dietitian

    • Laboratory examinations

    • Dietitian

    • Laboratory examinations

    • Surgeon

    • Dietitian

    • Laboratory examinations

    Sleeve gastrectomy
    • Surgeon

    • Dietitian

    NA
    • Surgeon

    • Dietitian

    • Surgeon

    • Dietitian

    • Surgeon

    • Dietitian

    • Surgeon

    • Dietitian

    • Dietitian

    • Laboratory examinations

    • Surgeon

    • Dietitian

    • Laboratory examinations

    • NA—not applicable.

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Canadian Family Physician: 56 (9)
Canadian Family Physician
Vol. 56, Issue 9
1 Sep 2010
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Bariatric surgery
Shahzeer Karmali, Carlene Johnson Stoklossa, Arya Sharma, Janet Stadnyk, Sandra Christiansen, Danielle Cottreau, Daniel W. Birch
Canadian Family Physician Sep 2010, 56 (9) 873-879;

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Bariatric surgery
Shahzeer Karmali, Carlene Johnson Stoklossa, Arya Sharma, Janet Stadnyk, Sandra Christiansen, Danielle Cottreau, Daniel W. Birch
Canadian Family Physician Sep 2010, 56 (9) 873-879;
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  • Article
    • Abstract
    • Quality of evidence
    • Indications for bariatric surgery
    • Options for bariatric surgery
    • Complications
    • Early complications
    • Late complications
    • Outcomes after surgery
    • Postsurgery follow-up
    • Nutrition and supplementation
    • Conclusion
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