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Changing trends in bariatric surgery.

E Lo Menzo1, S Szomstein1, R J Rosenthal2

  • 1The Bariatric & Metabolic Institute, Section of Minimally Invasive Surgery, Department of General Surgery, Cleveland Clinic Florida, Weston, FL, USA.

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|October 2, 2014
PubMed
Summary
This summary is machine-generated.

Bariatric surgery has evolved significantly, from early serendipitous procedures to the expansion of laparoscopic techniques and a current metabolic understanding. This has led to safer, more individualized obesity treatments.

Keywords:
Bariatric surgerygastric bypasslaparoscopymetabolic surgerysleeve gastrectomytrends

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Area of Science:

  • Surgical Innovation
  • Obesity Treatment
  • Metabolic Surgery

Background:

  • Morbid obesity requires long-lasting treatment options.
  • Bariatric surgery has undergone dramatic changes in techniques and procedures.
  • Understanding the evolution of bariatric surgery is crucial.

Purpose of the Study:

  • To review major changes and trends in bariatric surgery.
  • To outline the historical phases of bariatric surgical evolution.
  • To highlight advancements in obesity treatment surgery.

Main Methods:

  • Literature review of landmark papers.
  • Analysis of historical trends in bariatric surgery.
  • Identification of key phases in surgical development.

Main Results:

  • Three phases identified: pioneer, laparoscopic expansion, and metabolic.
  • Pioneer phase: serendipitous weight loss procedures.
  • Laparoscopic phase: greatest expansion due to minimally invasive techniques.
  • Metabolic phase: focus on hormonal and molecular mechanisms.

Conclusions:

  • Bariatric surgery has evolved significantly, improving safety and efficacy.
  • Laparoscopic approach enhanced safety and accessibility.
  • Improved understanding of metabolic changes allows individualized treatment.
  • Indications for bariatric surgery are expanding.