Surgery for Metabolic Syndrome
by Diane Safer, PhD and Deanna M. Neff, MPH
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 website. Available at: http://www.ebscohost.com/dynamed/what . Updated June 10, 2013. Accessed June 10, 2013.
Bariatric surgery for severe obesity. Weight-control Information Network website. Available at: http://win.niddk.nih.gov/publications/gastric.htm . Updated July 20, 2012. Accessed June 10, 2013.
Cornier MA, Dabelea D, Hernandez TL, 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;142:532-546.
Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med . 2005;142:547-559
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;30:1906-1908.
Robles-Cervantes JA, Yanez-Diaz S, Cardenas-Camarena L. Modification of insulin, glucose and cholesterol levels in non-obese women undergoing liposuction: Is liposuction metabolically safe? Annals of Plastic Surgery . 2004;52:64-67.
Shikora SA, Kim JJ, Tarnoff ME. Nutrition and gastrointestinal complications of bariatric surgery. Nutr Clin Pract . 2007;22:29-40.
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;90:316-322.
Wei-Jei L, Huang MT, Wang W, Lin CM, Chen TC, Lai IR. Effects of obesity surgery on the metabolic syndrome. Arch Surg . 2004;139:1088-1092.
Vetter ML, Cardillo S, Rickels MR, et al. Narrative review: effect of bariatric surgery on type 2 diabetes mellitus. Ann Intern Med . 2009;150(2):94-103.
Last reviewed June 2013 by Brian Randall, MD
Last Updated: 6/20/2013
|295 Varnum Ave., Lowell, MA 01854|