<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152016000100145</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía Bariátrica: Generalidades]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argüelles Argüello]]></surname>
<given-names><![CDATA[Ana Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valverde Zúñiga]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>145</fpage>
<lpage>153</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152016000100145&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152016000100145&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152016000100145&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La obesidad es considerada una epidemia en la actualidad. Es definida por la OMS como un índice de masa corporal (IMC) mayor o igual a 30. Se han realizado numerosos esfuerzos para determinar distintos tratamientos que permitan disminuir tanto la prevalencia de dicha enfermedad como las complicaciones asociadas a la misma. La cirugía bariátrica marca el inicio de una nueva era, en la que es posible reducir la morbi-mortalidad asociada a la obesidad. Específicamente se ha demostrado remisión en algunos casos de diabetes, tendencia a la mejoría en pacientes con NAFLD, NASH y reflujo gastroesofágico, así como franca mejoría a nivel cardiovascular. El propósito principal de este artículo es discutir el impacto de la cirugía bariátrica sobre dichas comorbilidades y sobre mortalidad, además las técnicas quirúrgicas, complicaciones y criterios de selección, con el fin de definir cuáles pacientes se benefician de este abordaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Obesity is defined as a body mass index greater or equal to 30, nowadays it is considered an epidemic. Numerous efforts have been carried on in order to define treatments that will effectively reduce the prevalence and complications of this condition. Bariatric surgery came to mark the beginning to a new era in this field; it demonstrated a reduction in morbi-mortality in patients with obesity. It has proven to induce remission in patients with diabetes, to improve NAFLD, NASH and GERD, and to be associated to a definite cardiovascular benefit. The main purpose of this article is to discuss the impact that bariatric surgery has over these comorbidities as well as on mortality. Surgical techniques, complications, and selection criteria are also addressed with the objective of defining which patients will benefit from this intervention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía bariátrica]]></kwd>
<kwd lng="es"><![CDATA[medicina bariátrica]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[tendencias]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[terapia]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Bariatric Surgery]]></kwd>
<kwd lng="en"><![CDATA[Bariatric Medicine]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[therapy]]></kwd>
<kwd lng="en"><![CDATA[complications.]]></kwd>
</kwd-group>
</article-meta>
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