Surgical techniques in bariatric surgery: minimally invasive approaches and long-term outcomes
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240681Keywords:
Bariatric surgery, Surgical techniques, Weight lossAbstract
Obesity is a worldwide epidemic, and current weight loss strategies frequently do not effectively tackle the problem. Bariatric surgery effectively addresses this issue. A systematic research study was done to investigate minimally invasive bariatric operations, using 32 studies from a pool of 2,118 data. Bariatric surgery was found to greatly assist in weight reduction and enhance general health results. Procedures such as gastric balloon, gastric banding, and gastric bypass can decrease the weight of obese people and alleviate associated health conditions. Sleeve gastrectomy is highly successful and yields favorable long-term results. The procedure used relies on the patient's health and the surgeon's discretion. The primary risk factor is the recurrence of weight or the need for revision surgery. Ultimately, bariatric procedures provide weight loss and long-term health benefits, but it is important to acknowledge the associated surgical risks. Immediate dangers include of blood clotting, intestine blockage, bleeding, infections, abdominal pain, nausea, heartburn, vomiting, ulcers, and other issues associated with surgery. Long-term consequences include of dumping syndrome, starvation, and weight regain.
References
Bariatric surgery procedures. American Society for Metabolic and Bariatric Surgery 2012. Available at: https://asmbs.org/patients/bariatric-surgery-procedures/. Accessed 2 February, 2024.
Crossan K. Surgical options in the treatment of severe obesity. StatPearls - NCBI Bookshelf. 2023.
Outcomes of bariatric surgery-UpToDate; 2012. Available at: https://www.uptodate.com/contents/ outcomes-of-bariatric-surgery/print. Accessed on 2 February, 2024.
Safer B, Safer U, Kaplan M. Comment on Improvement of Body Composition and Quality of Life Following Intragastric Balloon. Obes Surg. 2018;28(9):2918.
Mui WM, Ng KW, Tsung YS, Lam CH, Yung MY. Impact on Obesity-Related Illnesses and Quality of Life Following Intragastric Balloon. Obes Sur 2008;20(8):1128-32.
Intragastric balloon-Mayo Clinic. 2023. Available at: https://www.mayoclinic.org/tests-procedures/ intragastric-balloon/about/pac-20394435. Accessed on 6 February, 2024.
ASGE Bariatric Endoscopy Task Force; ASGE Technology Committee; Dayyeh BKA, Edmundowicz SA, Jonnalagadda S, Kumar N, et al. Endoscopic bariatric therapies. Gastro Endo. 2015;81(5):1073-86.
Kim H, Chun J, Choi S, Kim S, Keum B, Jeen YT. Current status of intragastric balloon for obesity treatment. World J Gastro. 2016;22(24):5495.
Busetto L, Segato G, De Luca, M Bortolozzi, E MacCari, T Magon, et al. Preoperative Weight Loss by Intragastric Balloon in Super-Obese PatientsTreated with Laparoscopic Gastric Banding: A Case-Control Study. Obes Surg. 2004;14(5):671-6.
Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie A, Donato K, et al. AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circula. 2014;129(25-2):S102-38.
Maselli DB, Waseem A, Lee D, Wooley C, Donnangelo LL, Coan B, et al. Performance Characteristics of Endoscopic Sleeve Gastroplasty in Patients with Prior Intragastric Balloon: Results of a Propensity Score Matched Study. Obes Surg. 2023;33(9):2711-7.
Laparoscopic gastric banding: MedlinePlus Medical Encyclopedia 2015. Available at: https://medlineplus.gov/ency/article/007388.html. Accessed on 2 February, 2024.
Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery. N Eng J Med. 2004;351(26):2683-93.
Stroh C, Hohmann U, Schramm H, Meyer F, Manger T. Fourteen-Year Long-Term Results after Gastric Banding. J Obes, 2011;2011:128451.
Bradley D, Magkos F, Klein S. Effects of Bariatric Surgery on Glucose Homeostasis and Type 2 Diabetes. Gastroenterology. 2011;143(4):897-912.
Laparoscopic Surgery for Morbid Obesity Patient Information from SAGES. 2019. SAGES. Available at: http://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-surgery-for-severe-morbid-obesity-from-sages/. Accessed on 2 February, 2024.
De Castro ML, Morales MJ, Del Campo V, Pineda JR, Pena E, Sierra JM, et al. Efficacy, Safety, and Tolerance of Two Types of Intragastric Balloons Placed in Obese Subjects: A Double-Blind Comparative Study. Obes Surg. 2010;20(12):1642-6.
Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel. 2013. Available at: https://www.nhlbi.nih.gov/health-topics/managing-overweight-obesity-in-adults. Accessed on 2 February, 2024.
Ayloo S. Laparoscopic Gastric Bypass: Background, Indications, Contraindications. 2019. Available at: https://emedicine.medscape.com/article/143954-overview?form=fpf . Accessed on 2 February, 2024
Genco A, Dellepiane D, Baglio G, Cappelletti F, Frangella F, Maselli R, et al. Adjustable Intragastric Balloon vs Non-Adjustable Intragastric Balloon: Case–Control Study on Complications, Tolerance, and Efficacy. Obes Surg. 2013;23(7):953-8.
Alami RS, Morton JM, Schuster R, Lie J, Sanchez BR, Peters A, et al. Is there a benefit to preoperative weight loss in gastric bypass patients? A prospective randomized trial. Surg Obes Rel Dis. 2007;3(2):141-5.
Gastric Bypass Revision. UCLA Health. Available at: https://www.uclahealth.org/medical-services/ surgery/bariatrics/obesity-treatments/gastric-bypass-revision#:~:text=Laparoscopic%20distal%20Roux%2Den%2DY,to%20absorb%20food%20and%20calories. Accessed on 2 February, 2024.
Tarnoff M, Kaplan LM, Shikora S. An Evidenced-based Assessment of Preoperative Weight Loss in Bariatric Surgery. Obes Surg. 2008;18(9):1059-61.
Alexandrou A, Sakarellos P, Davakis S, Vailas M, Dimitriou N, Papalampros A, et al. Revision of Roux-en-Y Gastric Bypass for Inadequate Weight Loss or Weight Regain. In Vivo. 2021;36(1):30-39.
Lazzati A, Chatellier G, Paolino L, Batahei S, Katsahian S. Postoperative care fragmentation in bariatric surgery and risk of mortality: a nationwide study. Surg for Obes and Rel Dis 2018;17(7):1327-33.
Kim DH, Lukens FJ, Ko D, Salazar M, Kröner PT, Elli EF, et al. Incidence, Burden, and Predictors of 11-Month Readmission in Patients Undergoing Bariatric Surgery. Obes Surg. 2022;33(1):94-104.
Laparoscopic Sleeve Gastrectomy. Jefferson Health. Available at: https://www.jeffersonhealth.org/ conditions-and-treatments/laparoscopic-sleeve-gastrectomy#:~:text=What%20is%20Laparoscopic%20Sleeve%20Gastrectomy,calories)%20that%20can%20be%20eaten. Accessed on 2 February, 2024.
Marincola G, Gallo C, Hassan C, Sessa L, Raffaelli M, Costamagna G, et al. Laparoscopic sleeve gastrectomy versus endoscopic sleeve gastroplasty: a systematic review and meta-analysis. Endoscopy Intern Open. 2021;09(01):E87-95.
Assalia A, Gagner M, Nedelcu M, Ramos AC, Nocca D. Gastroesophageal Reflux and Laparoscopic Sleeve Gastrectomy: Results of the First International Consensus Conference. Obes Surg. 2020;30(10):3695-705.
Kraljević M, Cordasco V, Schneider R, Peters T, Slawik M, Wölnerhanssen B, et al. Long-term Effects of Laparoscopic Sleeve Gastrectomy: What Are the Results Beyond 10 Years? Obes Surg. 2021;31(8):3427-33.
Sullivan S, Stein R, Jonnalagadda S, Mullady D, Edmundowicz S. Aspiration Therapy Leads to Weight Loss in Obese Subjects: A Pilot Study. Gastroenterology. 2013;145(6):1245-52.
Forssell H, Norén E. A novel endoscopic weight loss therapy using gastric aspiration: results after 6 months. Endoscopy. 2014;47(01):68-71.
