THE EFFECTIVENESS AND RISKS OF BARIATRIC SURGERY. AN UPDATED SYSTEMATIC REVIEW, 2013-2018

Background: Obesity is a chronic disease that associated with many health problems and a higher risk of death. Bariatric surgery for obesity is always only favored when other treatments have failed. In patients with BMI over than 40 or less than 40 but have obesity-related diseases such as diabetes, bariatric surgery is substantial. Aim of work: We aimed to examine the effectiveness and risks of bariatric surgery using up-to-date, comprehensive data between previously published systematic reviews in the last five years. Design: systematic review Data Source: PubMed articles search in the last five years were performed. Data and information from previously published systematic reviews were used. All studies were published between 2013 to 2018. Exclusion criteria: abstracts only, case reports, letters, comments, animal studies; languages other than English; duplicate studies; no surgical intervention and lack of outcomes of interest (weight change, surgical mortality and complications, and disease impacts). Inclusion criteria: After removing excluded abstracts, full articles were obtained and studies were screened again more accurately using the same exclusion criteria. The reference list of relevant studies was examined by extensive hand searching that also included a systemic review of bariatric surgery effectiveness. Out of 58 published paper that was identified by the searches only seven were applied in the present study. Main Outcome Measures: Bariatric surgery can be the treatment option of obesity Results: The current systematic review included 7 articles of systemic review design which published between 2013 to 2018; we summarized articles under specific titles Conclusion: The prevalence of obesity continues to grow globally and is a significant load on individuals and healthcare systems. Bariatric surgery is the substantial treatment option that results in significant long-term sustainable weight loss despite early and late complications occurrence. Limitation: Time was the only limitation of this study Keywords: Bariatric surgery, Systematic Review, Weight loss, RYGB, LAGB, LSG