Maagverkleining bij volwassenen met morbide obesitas in Nederland

J.W.M. Greve, I.M.C. Janssen, B. van Ramshorst

Research output: Contribution to journalArticleAcademicpeer-review


Obesity results in several health problems, the most important of these being diabetes mellitus type 2. In patients with morbid obesity (BMI > or = 35 kg/m(2) and comorbidity or BMI > or = 40 kg/m(2)) in particular, prevention or treatment of health problems resulting from the obesity is only possible with considerable and lasting weight loss. Gastric reduction surgery with the adjustable gastric band has been shown to be safe and effective. This is also true for the more invasive techniques such as the gastric bypass and the biliopancreatic diversion. Surgical treatment is the only treatment that can induce substantial and lasting weight loss (> 50% of the excess weight, on average) in this patient group in the long run. Although the availability of surgical treatment is as yet inadequate in the Netherlands, it has recently improved considerably. Reimbursement of the treatment is however still an obscure issue and the reimbursement of the follow-up is uncertain. Possibly, the current experiments with independent treatment centers will be able to put an end to this uncertainty.

Original languageEnglish
Pages (from-to)1116-1120
JournalNederlands Tijdschrift voor Geneeskunde
Issue number20
Publication statusPublished - 1 Jan 2007

Cite this