The evolution of metabolic/bariatric surgery

Obes Surg. 2014 Aug;24(8):1126-35. doi: 10.1007/s11695-014-1354-3.


Metabolic surgery is defined as "the operative manipulation of a normal organ or organ system to achieve a biological result for a potential health gain." The evolution of metabolic/bariatric surgery can be viewed from several perspectives: (1) realization that bariatric surgery has always been and will always be metabolic surgery; (2) lessons to be learned from the six dominant procedures; (3) overview of the other operations that have been proposed; (4) discussion of mechanisms of action; (5) physiology of energy metabolism; and (6) introduction to the emerging concept of inflammation. This review will end with thoughts on the present and future outcomes from the knowledge we have gained from metabolic/bariatric surgery. The author concludes with the statement: Metabolic surgery is cognitive surgery.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Bariatric Surgery* / history
  • Bariatric Surgery* / methods
  • Energy Metabolism / physiology
  • Gastric Bypass / history
  • Gastroplasty / history
  • History, 20th Century
  • Humans
  • Inflammation / physiopathology
  • Obesity, Morbid / metabolism
  • Obesity, Morbid / surgery