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Review
DOI: 10.1016/j.gastre.2017.05.005
Role of the gastroenterologist in the management of the obese patient
Papel del digestólogo en el manejo del paciente obeso
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Antonio López-Serranoa,b,
Corresponding author
lopez_antser@gva.es

Corresponding author.
, Inmaculada Ortiz Poloa, Javier Sanz de la Vegaa, Eduardo Moreno-Osseta,b
a Servicio de Medicina Digestiva, Hospital Universitari Dr. Peset, Valencia, Spain
b Universitat de València, Valencia, Spain
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Abstract

Obesity is a highly prevalent disease worldwide, and one in which gastroenterologists can play an important role. Some digestive diseases are more common in obese patients, and preoperative evaluation may be required in some cases. Additionally, bariatric surgery can lead to digestive complications in the short and long term that require intervention, and endoscopic treatment can be an important factor in weight loss. The aim of this review is to highlight the role of the gastroenterologist in the management of obese patients who are either scheduled for or have undergone surgical or endoscopic treatment for obesity.

Keywords:
Digestive system
Surgery
Complications
Gastrointestinal endoscopy
Morbid obesity
Resumen

La obesidad es una enfermedad con una elevada prevalencia a nivel mundial en la que el digestólogo puede tener una labour importante. Por una parte, algunas enfermedades digestivas son más frecuentes en este grupo de pacientes y es posible que sea necesario evaluarlos antes de la cirugía. Por otra, la cirugía bariátrica puede presentar complicaciones digestivas a corto y largo plazo en las que sea imprescindible nuestra actuación. Además, no podemos olvidar el papel que el tratamiento endoscópico puede tener en la pérdida de peso. El objetivo de la presente revisión es destacar el papel del digestólogo en el manejo del paciente obeso candidato y/o sometido a tratamiento quirúrgico o endoscópico de la obesidad.

Palabras clave:
Aparato digestivo
Cirugía
Complicaciones
Endoscopia gastrointestinal
Obesidad mórbida

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