Current bariatric-metabolic surgery

Cas Lek Cesk. 2022 Summer;161(3-4):100-106.

Abstract

Obesity is a well-known phenomenon of recent times in adult and pediatric population, as well. It has been proved, that numerous comorbidities are in a different way connected with obesity. Conservative treatment of obesity is the domain of obesitologists, diabetologists, nutritionists and psychologists, as well. Great part of the conservative treatment of obesity lies on the experts on physical activities. Surgical treatment is dedicated to the patients with severe obesity. It is targeted not only at the weight reduction, but also, or at first, at the impact on comorbidities. There are standard procedures defined and they represent substantial part of performed procedures. Novel surgical and endoscopic procedures are introduced into the practice. There are many of them. So far neither of these procedures achieve comparable effectivity and durability with standard procedures in a long-time horizon. The aim of this paper is to present standard surgical procedures, to mention novel ones, surgical and endoscopic, as well. The procedures are presented with respect to the pediatric population too.

Keywords: bariatric surgery; bariatry; comorbidities; endoscopic bariatric procedures; metabolic surgery; severe obesity.

MeSH terms

  • Bariatric Surgery*
  • Child
  • Endoscopy
  • Humans
  • Obesity / surgery
  • Obesity, Morbid* / surgery
  • Weight Loss