Obesity and Bariatric/Metabolic Surgery: Risks, Outcomes, Prognosis, and Development Trends
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".
Deadline for manuscript submissions: closed (15 September 2023) | Viewed by 14333
Special Issue Editor
2. INSERM, Nutrition and Obesity: Systemic Approach (NutriOmics) Research Unit, Sorbonne Université, Paris, France
Interests: obesity; bariatric; complication; precision medicine; surgery; metabolic surgery
Special Issue Information
Dear Colleagues,
Bariatric practice is moving toward precision medicine and surgery. Recent advances in the understanding of the pathophysiology of obesity and associated metabolic diseases (e.g., type 2 diabetes, hypertension, dyslipidemia) have enabled the identification of implications in clinical features, the development of precise diagnostic methods or targeted therapy, and the accurate prediction of “metabolic prognosis” after weight loss intervention, including bariatric surgery (BS). BS provides long-term weight loss, and revisional surgery is increasingly being performed either in cases of insufficient weight loss or for chronic complications. While the safety profile of BS is constantly improving, efforts should be focused on identifying predicting factors and optimal treatments of severe postoperative morbidity and of metabolic response in primary and revisional settings to define the outcomes in all surgical situations. In addition, the fantastic improvement of metabolic features following surgery has demonstrated that the gastrointestinal tract is a key organ in metabolic regulation and, therefore, a rational target for interventions aimed at treating metabolic disorders (e.g., metabolic surgery). Several recent randomized clinical trials have demonstrated that bariatric/metabolic surgery causes greater improvement of type 2 diabetes and reduction in cardiovascular risk compared with lifestyle modification and medical therapies and regardless of weight loss at the long term, allowing a paradigm shift. With the recent COVID-19 pandemic, telemedicine is rapidly being applied to bariatric practice for optimal follow-up. All these discoveries have improved the clinicians’ approach to diagnosis, treatment, and the prediction of prognosis after weight loss interventions in different settings. The aim of this Special Issue is to highlight recent advances in the context of obesity and bariatric/metabolic surgery.
Dr. Laurent Genser
Guest Editor
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Keywords
- obesity
- bariatric
- complications
- follow-up
- outcomes
- translational
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