**4. Venous thromboembolism**

68 Pulmonary Embolism

Bariatric surgery holds an important and well established role in the management of obese and morbid obese patients. Furthermore, it is proved to be the most efficient mode of

International medical and surgical societies (International Federation for the Surgery of Obesity (IFSO), European Association for Study of Obesity (EASO), European Childhood Obesity Group (ECOG)) created guidelines in order to assure safe and effective clinical


To be candidates for surgical management, patients must have failed to lose weight or to

Bariatric surgery is indicated in patients who managed to lose weight prior to scheduled

In these patients the primary objective is to improve quality of life. Benefits should be contemplated with potential risks, thus indications for surgery should be individualized.



Nowadays a variety of surgical procedures is available for the surgical treatment of obesity. Furthermore, although primary objective of bariatric surgery is the weight loss, significant long-term amelioration or total remission of co-morbidities has been established. Bariatric surgery procedures modify the gastrointestinal track in order to reduce its volume and/or

Restrictive procedures induce volume limitation and include laparoscopic adjustable gastric band (LAGB), vertical banded gastroplasty (VBG), laparoscopic sleeve gastrectomy (LSG),

Malabsorptive procedures induce limited absorption of nutrients and include

Roux-en-Y gastric bypass (RYGBP), open or laparoscopic, encompasses characteristics of

biliopancreatic diversion with (BPD-DS) or without duodenal switch (BPD).

both types of procedures, as it provides restriction and mild- malabsorption.

treatment that provides sustained weight loss in morbidly obese patients.

maintain a substantial weight-loss following conservative treatment.

surgery and have reach a BMI below the required for surgery.


**3. Bariatric surgery** 

practice in the field of bariatric surgery.

**3.1 Indications of bariatric surgery**  a. Patients from 18-60 years - with BMI≥40 kg/m2

severe psychological problems)

**3.2 Contraindications of bariatric surgery** 


required long-term medical follow-up.

**3.3 Bariatric surgery techniques** 

its absorptive function.

gastric bypass (GBP).


b. Patients aged above 60

program.
