Weighing In on Bariatric Surgery

A Comprehensive Review on Metabolic Syndrome

“…It has been found to be associated with the improvement and resolution of multiple comorbidities associated with obesity, including hypertension, T2DM, NAFLD, OSA, cardiopulmonary failure, CVD, arthritis, PCOS, dyslipidemia (exclusive of hypercholesterolemia), hyperuricemia, and infertility [175]. However, the long-term results are not available and recent reports of substantial mortality and morbidity of this procedure, especially in the elderly, have raised important safety issues for this procedure [176]. …”

Advancements in Understanding and Preventing Obesity-Related Colon Cancer

“…Bariatric surgery is considered for those with BMI ≥40 kg/m 2 or between 35 and 40 kg/m 2 with obesity-associated comorbidities who have failed to lose weight or maintain weight loss. [123][124][125] Currently, about 250,000 adults have bariatric surgery yearly in the United States, and this number will likely increase. 126,127 The most commonly performed bariatric surgery is vertical sleeve gastrectomy (VSG), which mainly leads to weight loss by restricting gastric volume (Fig.…”

“…Bariatric surgery is considered for those with BMI ≥40 kg/m 2 or between 35 and 40 kg/m 2 with obesity-associated comorbidities who have failed to lose weight or maintain weight loss 123–125 . Currently, about 250,000 adults have bariatric surgery yearly in the United States, and this number will likely increase 126,127 .…”

“…1). 123–127 Other bariatric surgeries, such as lap-band, vertical band gastrostomy, or biliopancreatic diversion with duodenal switch, are rarely performed currently. Besides restriction and malabsorption, bariatric surgery also leads to physiological changes in eating behavior, a decrease in adiposity hormones such as leptin and insulin, and disruptions in ghrelin secretion to decrease hunger 128–135 .…”

The Attitude of type 2 Diabetic Patients Toward Intensive Weight Management and Bariatric Surgery

“…The Roux-en-Y Gastric Bypass (RYGB) and Laparoscopic Adjustable Gastric Banding (LAGB) procedures induce type 2 diabetes remission rates of up to 80% and 57%, respectively [15,16]. Despite these highly impressive outcomes, previous studies reported that in any given year, as few as 0.6% of patients who meet current bariatric surgery criteria undergo a bariatric surgical procedure [17,18]. Such disparity between those who would benefit from bariatric surgery and those who actually undergo these surgeries could be explained my many reasons including lack of knowledge about the surgeries and varied insurance coverage [19][20][21].…”