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Related Experiment Video

Updated: Apr 18, 2026

Sleeve Gastrectomy in Mice using Surgical Clips
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Bariatric surgery--an update for the endocrinologist.

Marcio C Mancini1

  • 1Endocrinology & Metabolism Department, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Arquivos Brasileiros De Endocrinologia E Metabologia
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Summary

Bariatric surgery is a highly effective treatment for morbid obesity, improving health outcomes and life expectancy. This review guides healthcare providers on best practices for managing surgical candidates, from assessment to post-operative care.

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Area of Science:

  • Endocrinology
  • Bariatric Surgery
  • Public Health

Background:

  • Obesity presents significant public health challenges, increasing mortality risk and comorbidities.
  • Bariatric surgery is the most effective intervention for morbid obesity, reducing complications and mortality.
  • Centers of excellence have improved surgical safety and outcomes through interdisciplinary teams.

Purpose of the Study:

  • To provide endocrinologists and healthcare providers with essential clinical practice guidelines.
  • To detail the management of morbidly obese patients undergoing bariatric surgery.
  • To cover indications, procedures, assessments, and postoperative care.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Focus on interdisciplinary team roles, particularly endocrinologists.
  • Comprehensive overview of surgical and endoscopic treatments.

Main Results:

  • Formal indications and contraindications for bariatric procedures.
  • Preoperative evaluations including psychological, metabolic, and cardiorespiratory assessments.
  • Postoperative management including diet, supplementation, and complication monitoring.

Conclusions:

  • Endocrinologists play a vital role in the multidisciplinary management of bariatric surgical candidates.
  • Adherence to best practices ensures improved patient outcomes and safety.
  • The review addresses critical aspects from preoperative evaluation to long-term follow-up.