Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction: Polycystic ovary syndrome is an intergenerational problem
- 2 Introduction and history of polycystic ovary syndrome
- 3 Phenotype and genotype in polycystic ovary syndrome
- 4 The pathology of the polycystic ovary syndrome
- 5 Imaging polycystic ovaries
- 6 Insulin sensitizers in the treatment of polycystic ovary syndrome
- 7 Long-term health consequences of polycystic ovary syndrome
- 8 Skin manifestations of polycystic ovary syndrome
- 9 Lifestyle factors in the etiology and management of polycystic ovary syndrome
- 10 Ovulation induction for women with polycystic ovary syndrome
- 11 Laparoscopic surgical treatment of infertility related to PCOS revisited
- 12 In vitro fertilization and the patient with polycystic ovaries or polycystic ovary syndrome
- 13 Role of hyperinsulinemic insulin resistance in polycystic ovary syndrome
- 14 Novel treatments for polycystic ovary syndrome, including in vitro maturation
- 15 The pediatric origins of polycystic ovary syndrome
- 16 Fetal programming of polycystic ovary syndrome
- 17 Adrenocortical dysfunction in polycystic ovary syndrome
- 18 Polycystic ovary syndrome in Asian women
- 19 Obesity surgery and the polycystic ovary syndrome
- 20 Nutritional aspects of polycystic ovary syndrome
- Index
- References
19 - Obesity surgery and the polycystic ovary syndrome
Published online by Cambridge University Press: 29 September 2009
- Frontmatter
- Contents
- List of contributors
- 1 Introduction: Polycystic ovary syndrome is an intergenerational problem
- 2 Introduction and history of polycystic ovary syndrome
- 3 Phenotype and genotype in polycystic ovary syndrome
- 4 The pathology of the polycystic ovary syndrome
- 5 Imaging polycystic ovaries
- 6 Insulin sensitizers in the treatment of polycystic ovary syndrome
- 7 Long-term health consequences of polycystic ovary syndrome
- 8 Skin manifestations of polycystic ovary syndrome
- 9 Lifestyle factors in the etiology and management of polycystic ovary syndrome
- 10 Ovulation induction for women with polycystic ovary syndrome
- 11 Laparoscopic surgical treatment of infertility related to PCOS revisited
- 12 In vitro fertilization and the patient with polycystic ovaries or polycystic ovary syndrome
- 13 Role of hyperinsulinemic insulin resistance in polycystic ovary syndrome
- 14 Novel treatments for polycystic ovary syndrome, including in vitro maturation
- 15 The pediatric origins of polycystic ovary syndrome
- 16 Fetal programming of polycystic ovary syndrome
- 17 Adrenocortical dysfunction in polycystic ovary syndrome
- 18 Polycystic ovary syndrome in Asian women
- 19 Obesity surgery and the polycystic ovary syndrome
- 20 Nutritional aspects of polycystic ovary syndrome
- Index
- References
Summary
Introduction
Obesity is a serious disease, which is associated with an array of comorbid conditions that have a major impact on both physical and mental health, and on quality of life. Obesity surgery provides the only reliable method of achieving and sustaining significant weight for those with severe obesity (body mass index (BMI) >35 kg/m2). The combination of an obesity epidemic, relatively ineffective conservative therapy, and advances in modern laparoscopic surgery has generated a demand for effective safe surgical methods to achieve significant weight loss. It is therefore not surprising that obesity surgery is one of the most rapidly developing and expanding areas of surgery today. Obesity, especially central obesity with insulin resistance, is commonly associated with features of the polycystic ovary syndrome (PCOS), namely disturbance of ovulatory function, infertility, and evidence of androgen excess (Hartz et al. 1979) and it is not surprising that weight loss has become an important goal in obese women with this condition.
Obesity surgery: mechanism of action
The traditional division of obesity surgery into malabsorptive and restrictive has been misleading as it has implied knowledge regarding the mechanism of action utilized to achieve and sustain weight loss. Currently two procedures make up the vast majority of bariatric surgical procedures throughout the world: these are the laparoscopic adjustable gastric banding (LAGB) (Fig. 19.1) and Roux-en-Y gastric bypass (RYGB) (Fig. 19.2), with neither producing malabsorption of macronutrients.
- Type
- Chapter
- Information
- Polycystic Ovary Syndrome , pp. 331 - 342Publisher: Cambridge University PressPrint publication year: 2007