Bariatric metabolic surgery

Obesity is a significant and growing health burden to both patients and the public health service in the United Kingdom. It is associated with increased morbidity and mortality and should be viewed as a chronic, multi-system disease influenced by genetic, environmental, and behavioural factors. Desp...

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Bibliographic Details
Published in:Surgery (Oxford) 2023-11, Vol.41 (11), p.752-758
Main Authors: Sinha, Yashashwi, Noor Mohamed, Mohamed Saleem, Anwer, Aisha, Mashar, Ruchir, Wiggins, Tom
Format: Article
Language:English
Subjects:
Bariatric and metabolic surgery
GLP-1 agonists
obesity
robotic surgery
Roux-en-Y gastric bypass
sleeve gastrectomy
weight loss
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Summary:Obesity is a significant and growing health burden to both patients and the public health service in the United Kingdom. It is associated with increased morbidity and mortality and should be viewed as a chronic, multi-system disease influenced by genetic, environmental, and behavioural factors. Despite advancements in understanding its pathophysiology, novel treatments, and targeted management, the prevalence of obesity and obesity-related health conditions continues to rise. The goals of obesity treatment have shifted from a simplistic focus on reducing BMI to improving health and reducing the burden of related comorbidities. The structure of weight management services in the United Kingdom follows a tiered approach. Bariatric and metabolic surgery (BMS) represents the fourth tier and remains the most effective treatment currently available for obesity. This article details the current impact of obesity on population health along with the structured approach to management of the disease. An overview of the utilization of BMS and the varying BMS operations is provided along with future directions in the management of obesity. Irrespective of speciality, all clinicians will encounter and care for patients with obesity. Therefore, it is paramount that doctors and surgeons have a working understanding of the implications of obesity, its comorbidities, BMS and post-operative care and potential complications.
ISSN:0263-9319
DOI:10.1016/j.mpsur.2023.08.011