Recent Advances in Bariatric Surgery and Metabolic Syndrome

Abstract

Abstract Introduction: In the past several years better understanding of substantial metabolic changes induced by different surgical interventions to the alimentary tract was achieved. Therefore, the former classification of operations according to their influence on food ingestion, defined as limiting stomach capacity (restrictive), limiting absorption of nutrients (malabsorptive) or combined procedures does not appropriately reflect the current level of knowledge about early and weight-independent metabolic effects of these operations. Nowadays, most of the standard surgical interventions are being mostly referred to as metabolic operations. The focus when treating obese patients is gradually shifting from the primary goal of weight loss outcomes to the metabolic effects of the operations. Recent procedures in which long-term outcome data is not yet available include omega loop gastric bypass and Single-anastomosis duodeno-ileal bypass (SADI) with sleeve gastrectomy as a modification of duodenal switch operation . Aim of the work: The aim of this essay is to highlight recent advances in bariatric surgery, and to give a practical systematic updated approach that can be used in the management of this condition.