Bariatric Surgery or Non-surgical Weight Loss for Idiopathic Intracranial Hypertension? A Systematic Review and Comparison of Meta-analyses.

ABSTRACT:

Background

Idiopathic intracranial hypertension (IIH) is associated with obesity and weight loss by any means is considered beneficial in this condition.

Objectives

This study aims to appraise bariatric surgery vs. non-surgical weight-loss (medical, behavioural and lifestyle) interventions in IIH management.

Methods

A systematic review and meta-analyses of surgical and non-surgical studies.

Results

Bariatric surgery achieved 100% papilloedema resolution and a reduction in headache symptoms in 90.2%. Non-surgical methods offered improvement in papilloedema in 66.7%, visual field defects in 75.4% and headache symptoms in 23.2%. Surgical BMI decrease was 17.5 vs. 4.2 for non-surgical methods.

Conclusions

Whilst both bariatric surgery and non-surgical weight

SUBMITTER: Manfield JH 

PROVIDER: S-EPMC5237659 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature