Bariatric procedures: an update on techniques, outcomes and complications
Abstract
Purpose of review Obesity is a rising epidemic, and it is projected that over 700 million people will be obese by 2015. As the number of people with morbid obesity rises, so will the number of bariatric procedures performed. The goal of this article is to review current surgical and endoscopic options for weight loss in morbidly obese patients including their efficacy and complications. Recent findings New bariatric surgical techniques have been developed with the goals of maximizing weight loss and metabolic outcomes, while minimizing complications. In addition, there is a role for therapeutic endoscopy in treating obesity as well as managing bariatric surgical complications. As the metabolic effects of bariatric surgery are better elucidated, bariatric surgeries may provide a role in treatment of metabolic syndrome in mildly obese individuals. For those with insufficient weight loss, revisional bariatric surgeries have been performed with varying success. Summary Bariatric surgery is an effective treatment for obesity and its comorbidities. Several bariatric surgeries are available, and a multidisciplinary approach is recommended for choosing the best procedure for the appropriate candidate, along with providing long-term follow-up care to maximize outcome.
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Bariatric surgery results in major alterations to the anatomy and function of the GI tract.
“Bariatric surgery results in major alterations to the anatomy and function of the GI tract (11).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [11]
After bariatric surgery, dumping syndrome has mainly been reported in patients who underwent Roux-en-Y gastric bypass and interventions involving partial gastrectomy.
“After bariatric surgery, dumping syndrome has mainly been reported in patients who underwent Roux-en-Y gastric bypass and interventions involving partial gastrectomy (11).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [11]
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Carvalho, M. N., Filho, E. P. D. M., da Silva, I. M. O., Neto, J. F. D. S., de Vasconcelos, C. A. C., Nery, R. P., Nunes, R. M. D. O., Santos, R. D. M., & de Souza, L. K. M. (2021) · Research Society and Development · doi:10.33448/rsd-v10i2.11629
Postoperative Syndrome und Lebensqualität nach Eingriffen am Magen
Kist, M., Hummel, R., & Höppner, J. (2023) · Allgemein- und Viszeralchirurgie up2date · doi:10.1055/a-1186-6724
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- Authors
- Baptista, V., & Wassef, W.
- Affiliations
- UMass Memorial Medical Center (US)
- Corresponding author
- Wassef, Wahid
- ORCID
- Wassef, Wahid
- Venue
- Current Opinion in Gastroenterology
- Published
- 2013-11
- Volume
- 29
- Issue
- 6
- Pages
- 684-693
- ISSN
- 0267-1379 (ISSN-L)
- OpenAlex
- W1999049200
- Cited by
- 48
- References
- 51
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 2 · 2018: 2 · 2017: 5 · 2016: 10 · 2015: 10 · 2014: 6
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Society for Gastrointestinal Endoscopy
- American Society for Metabolic and Bariatric Surgery
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Keywords
- bariatric surgery, morbid obesity, endoscopic weight loss, metabolic syndrome, revisional bariatric surgery, weight loss efficacy, obesity-related comorbidities, multidisciplinary obesity management
- MeSH terms
- Gastroscopy, Humans, Obesity, Morbid, Weight Loss, Treatment Outcome, Metabolic Syndrome, Bariatric Surgery
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