Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul;23(4):330-336.
doi: 10.7861/clinmed.2023-0189.

The surgical management of obesity

Alan Askari  1 , Periyathambi Jambulingam  2 , Roy Gurprashad  2 , Omer Al-Taan  2 , Tanveer Adil  2 , Aruna Munasinghe  2 , Vigyan Jain  2 , Farhan Rashid  2 , Douglas Whitelaw  2
Affiliations

The surgical management of obesity

Alan Askari et al. Clin Med (Lond). 2023 Jul.

Abstract

Obesity has reached pandemic levels globally. Surgical management of obesity aims to establish metabolic control, weight loss and resolution of multiple health conditions and to improve quality of life. Here, we examine the role of surgery in the management of obesity within the context of a multidisciplinary team involving a variety of healthcare professionals. We highlight the importance of patient selection, perioperative care, the various types of bariatric surgery currently available as well as emerging procedures. In addition to clarifying the different types of procedure, we also examine the potential complications and issues of weight regain and failure to lose weight. Ultimately, bariatric surgery remains comparatively safe and with generally excellent results in terms of control of existing obesity-related conditions; with the ever-increasing number of patients living with obesity, the scope of bariatric surgery is thus likely to increase.

Keywords: bariatric surgery; obesity; obesity-related disease.

PubMed Disclaimer

Figures

Fig 1.
Fig 1.
Roux en-Y gastric bypass.
Fig 2.
Fig 2.
Sleeve gastrectomy.
Fig 3.
Fig 3.
Adjustable gastric banding.
Fig 4.
Fig 4.
Gastric balloon.
See this image and copyright information in PMC

References

    1. Kamocka A, Chidambaram S, Erridge S, et al. . Length of biliopancreatic limb in Roux-en-Y gastric bypass and its impact on post-operative outcomes in metabolic and obesity surgery-systematic review and meta-analysis. Int J Obes (Lond) 2022;46:1983–91. - PMC - PubMed
    1. Eldredge TA, Bills M, Ting YY, et al. . Once in a bile-the incidence of bile reflux post-bariatric surgery. Obes Surg 2022;32:1428–38. - PMC - PubMed
    1. Marceau P, Biron S, Hould F-S, et al. . Duodenal switch: long-term results. Obes Surg 2007;17:1421–30. - PubMed
    1. Gebellí JP, Lazzara C, de Gordejuela AGR, et al. . Duodenal switch vs. single-anastomosis duodenal switch (SADI-S) for the treatment of Grade IV obesity: 5-year outcomes of a multicenter prospective cohort comparative study. Obes Surg. 2022;32:3839–46. - PubMed
    1. Albanese A, Prevedello L, Verdi D, et al. . Laparoscopic gastric plication: an emerging bariatric procedure with high surgical revision rate. Bariatr Surg Pract Patient Care 2015;10:93–8. - PMC - PubMed