Weight loss is very important in preventing or managing metabolic syndrome. Before surgery is considered, lifestyle changes, dietary changes, and medications are often recommended.
Bariatric surgery is considered if a person:
There are several types of bariatric surgery options that can help you lose weight if you are obese and meet the other criteria:
Outcomes have been favorable for all of these surgery options in the majority of patients. The surgery can result in:
Talk to your doctor about the risks and benefits of bariatric surgery. The most important risk is vitamin and mineral deficiency and should be carefully monitored. Most patients should be taking a vitamin and mineral supplement.
Bariatric surgery. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T483434/Bariatric-surgery. Updated August 4, 2016. Accessed September 23, 2016.
Bariatric surgery for severe obesity. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery-severe-obesity/Pages/bariatric-surgery-for-severe-obesity.aspx. Updated July 20, 2012. Accessed June 10, 2013.
Cornier MA, Dabelea D, et al. The metabolic syndrome. Endocr Rev. 2008;29:777-822.
Li Z, Maglione M, Tu W, et al. Meta-analysis: pharmacologic treatment of obesity. Ann Intern Med. 2005;142(7):532-546.
Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547-559
Morinigo R, Casamitjana R, Delgado S, et al. Insulin resistance, inflammation, and the metabolic syndrome following Roux-en-Y gastric bypass surgery in severely obese subjects. Diabetes Care. 2007;30(7):1906-1908.
Robles-Cervantes JA, Yanez-Diaz S, Cárdenas-Camarena L. Modification of insulin, glucose and cholesterol levels in non-obese women undergoing liposuction: Is liposuction metabolically safe? Ann Plast Surg. 2004;52(1):64-67.
Shikora SA, Kim JJ, Tarnoff ME. Nutrition and gastrointestinal complications of bariatric surgery. Nutr Clin Pract. 2007;22(1):29-40.
Vásquez LA, Pazos F, Berrazueta JR, et al. Effects of changes in body weight and insulin resistance on inflammation and endothelial function in morbid obesity after bariatric surgery. J Clin Endocrinol Metab. 2005;90(1):316-322.
Wei-Jei L, Huang MT, Wang W, Lin CM, Chen TC, Lai IR. Effects of obesity surgery on the metabolic syndrome. Arch Surg. 2004;139(10):1088-1092.
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Last reviewed June 2016 by James Cornell, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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