Bariatric/Metabolic Surgery

Handb Exp Pharmacol. 2022:274:371-386. doi: 10.1007/164_2021_565.

Abstract

Bariatric surgery is a gastro-intestinal surgery aimed at obtaining weight loss in obesity. The rapid metabolic effects of this type of operations provided a rational to change its name to metabolic surgery, in fact often the improvement of metabolic diseases is observed before a meaningful weight reduction.In this review, we examine the effects of laparoscopic metabolic surgery on life expectancy, type 2 diabetes, hypertension, cardiovascular disease and cancer.Furthermore, we review the surgical endoscopy approaches to obesity including primary obesity procedures and revision procedures that address weight regain after bariatric surgery.Finally, as a bridge to the specific chapter, we summarize the effects on weight reduction of new anti-obesity medications.

Keywords: Bariatric surgery; Endoscopy; Laparoscopy; Metabolic surgery; Minimally invasive surgery.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery* / methods
  • Diabetes Mellitus, Type 2* / surgery
  • Humans
  • Laparoscopy* / methods
  • Obesity / surgery
  • Treatment Outcome
  • Weight Loss