Recent advances in bariatric surgery: a narrative review of weight loss procedures

Abstract

Bariatric surgery has emerged as a highly effective option for individuals with obesity, offering significant and sustainable weight loss outcomes. This surgical approach involves various procedures that alter the anatomy of the gastrointestinal tract, leading to reduced food intake and nutrient absorption. Established procedures such as sleeve gastrectomy, gastric bypass, adjustable gastric banding, and biliopancreatic diversion with duodenal switch have proven track records. In contrast, emerging options like intragastric balloons, AspireAssist devices and endoscopic sleeve gastroplasty show promise but require further investigation. Numerous studies have highlighted the remarkable benefits of bariatric surgery, not only in weight loss but also in the resolution of obesity-related comorbidities and significant improvements in quality of life. However, successful outcomes rely on a multidisciplinary approach, encompassing preoperative evaluation, patient selection, comprehensive postoperative care, nutritional support, and psychological counselling. Regular follow-up and adherence to post-surgical recommendations are crucial for sustained weight loss and positive long-term results. As bariatric surgery continues to evolve, tailored procedures based on individual needs and ongoing research hold the potential for even more refined and effective approaches. Through this ongoing advancement, bariatric surgery is poised to offer improved patient outcomes, transforming lives for those grappling with the challenges of obesity.

Laparoscopic Removal of a Non-Adjustable Gastric Band and Conversion to a Gastric Sleeve: A Case Report

“…In addition, molecular and histological studies have focused on the impact of comorbidities. Another approach that has significantly changed in recent years is the multidisciplinary team approach for patients [10][11][12]. Previously, the focus was solely on the surgery itself.…”

“…Moreover, regular follow-up consultations with the multidisciplinary bariatric team collectively ensure proper patient weight loss [ 10 ]. The use of multidisciplinary teams in bariatric surgery is recommended [ 11 , 12 ]. Our center has strict multidisciplinary follow-up (nutritionist, psychologist, endocrinologist, and bariatric surgeon) to ensure patient success.…”

Potential Therapeutic Targets in Obesity, Sleep Apnea, Diabetes, and Fatty Liver Disease

“…Bariatric surgery has been established as a highly effective option for patients with obesity to achieve sustained weight loss. Common, established procedures include sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), gastric banding, and biliopancreatic diversion with duodenal switch [40]. A review of the literature suggests that among the different types of bariatric surgery, SG and RYGB have the highest efficacy for major weight reduction, with similar long-term results.…”

Evaluating the Impact of a Virtual Health Coaching Lifestyle Program on Weight Loss after Sleeve Gastrectomy: A Prospective Study

“…A specific form of BS, sleeve gastrectomy, reduces appetite while taking out a portion of the stomach [6]. Sleeve gastrectomy (SG) is increasingly preferred for reducing obesity because it achieves substantial and sustained weight loss, relatively lower complication rates, and shorter recovery times than other bariatric procedures [7]. A recent sleeve gastrectomy review explains that the effects of this procedure may include reduced blood pressure, cardiovascular disease, type 2 diabetes, and stroke [8].…”