The present and future of metabolic surgery

Czech version

Authors: P. Holéczy ^1,2; M. Bužga ³; E. Machytka ⁴
Authors‘ workplace: Katedra chirurgických oborů, Lékařská fakulta Ostravské univerzity, Ostrava-Zábřeh ¹; Chirurgické oddělení, Vítkovická nemocnice, a. s., Ostrava-Vítkovice ²; Katedra fyziologie a patofyziologie, Lékařská fakulta Ostravské univerzity, Ostrava-Zábřeh ³; Interní klinika Fakultní nemocnice Ostrava ⁴
Published in: Rozhl. Chir., 2019, roč. 98, č. 2, s. 41-45.
Category: Review

Overview

The term metabolic surgery has become familiar to the professional and lay public with the beginning of the new millennium. The focus is not only on weight reduction, but also on the improvement of obesity-related medical conditions. This is reflected in guidelines of surgical societies as well as in the therapeutic algorithms of other, for instance diabetology, societies. Standard procedures which represent a significant portion of the operations performed worldwide, along with procedures still lacking adequate proof of effectiveness, have been defined. There are also new types of interventions focusing rather on comorbidity treatment than on weight reduction. Effort to reduce invasiveness of the procedures has been evident, paving the way for endoscopic procedures with laparoscopic assistance or purely endoscopic procedures. The authors present the current view on the status of metabolic surgery, reporting on the most frequently performed procedures and also introducing newer surgical and endoscopic interventions which may represent the future of metabolic surgery.

Keywords:

metabolic surgery – obesity – comorbidity – endoscopy – future

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Labels

Surgery Orthopaedics Trauma surgery Dermatology & STDs Diabetology Gynaecology and obstetrics Vascular surgery Plastic surgery Internal medicine Cardiology Paediatrics General practitioner for children and adolescents General practitioner for adults Urology

Bariatric/metabolic surgery: the diabetologist’s view

SADIS − Single anastomosis duodeno-ileal bypass with sleeve gastrectomy as a second step after sleeve gastrectomy

Gastric bypass and its role in metabolic and bariatric surgery

Wernicke´s encephalopathy as rare complication after sleeve gastrectomy

Partial magnetic jejunal diversion (PMJD) in severely obese patients

Unusual complications after bariatric surgery − gastric plication

Article was published in

Perspectives in Surgery

2019 Issue 2