Abstract
Metabolic surgery is defined as "the operative manipulation of a normal organ or organ system to achieve a biological result for a potential health gain." The evolution of metabolic/bariatric surgery can be viewed from several perspectives: (1) realization that bariatric surgery has always been and will always be metabolic surgery; (2) lessons to be learned from the six dominant procedures; (3) overview of the other operations that have been proposed; (4) discussion of mechanisms of action; (5) physiology of energy metabolism; and (6) introduction to the emerging concept of inflammation. This review will end with thoughts on the present and future outcomes from the knowledge we have gained from metabolic/bariatric surgery. The author concludes with the statement: Metabolic surgery is cognitive surgery.
Original language | English (US) |
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Pages (from-to) | 1126-1135 |
Number of pages | 10 |
Journal | Obesity Surgery |
Volume | 24 |
Issue number | 8 |
DOIs | |
State | Published - Aug 2014 |
Keywords
- Biliopancreatic diversion
- Duodenal switch
- Gastric band
- Gastric bypass
- Gastric vagal blocking
- Metabolic surgery
- Obesity surgery
- Sleeve gastrectomy
- Vertical banded gastroplasty