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Evolution of bariatric surgery: a historical perspective
Mariam Moshiri1, Sherif Osman, Tracy J Robinson
1Department of Radiology, University of Washington School of Medicine, 1959 NE Pacific St, Box 357115, Seattle, WA 98195, USA. shiri@uw.edu
AJR. American Journal of Roentgenology
|June 25, 2013
Summary
Legacy bariatric surgeries are no longer performed but require imaging evaluation. Understanding their anatomy is crucial for managing patients with complications or weight regain.
Area of Science:
- Bariatric surgery
- Surgical anatomy
- Radiology
Background:
- Older bariatric surgical procedures like jejunocolic bypass and vertical banded gastroplasty are obsolete.
- Biliopancreatic diversion with duodenal switch is performed in select centers.
- Patients with prior legacy bariatric surgery require ongoing surveillance or revision.
Observation:
- Limited imaging data exists for legacy bariatric surgeries.
- Radiologic demonstration of these older techniques is scarce.
- Complications and weight regain necessitate evaluation of these patients.
Findings:
- The article details the evolutionary development of bariatric surgical techniques.
- It describes the associated surgical anatomy of legacy procedures.
- Understanding this anatomy aids in patient management.
Implications:
- Knowledge of legacy bariatric surgical anatomy is essential for current clinical practice.
- Radiologists and surgeons need to be familiar with these older techniques for patient care.
- This understanding facilitates prompt diagnosis and treatment of complications.
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