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New Approaches in Bariatric Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 15 October 2025 | Viewed by 432

Special Issue Editor


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Guest Editor
1. Centre Chirurgical de l’Obésité, Department of General Surgery, Clinique Saint Michel, ELSAN, Avenue de l’Orient, 83100 Toulon, France
2. Department of General Surgery, Clinique Bouchard, ELSAN, 13006 Marseille, France
Interests: bariatric surgery; metabolic surgery; gastroesophageal reflux disease
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Special Issue Information

Dear Colleagues,

Bariatric surgery has evolved significantly in recent years, with new approaches aimed at improving safety, efficacy, and long-term outcomes. One of the most promising trends is the development of endoscopic bariatric procedures, such as endoscopic sleeve gastroplasty (ESG), which offers a less invasive alternative to traditional surgery with reduced risks and quicker recovery.

Another major advancement is the personalization of surgical techniques based on a patient’s metabolic profile or other characteristics. Instead of a one-size-fits-all approach, surgeons now tailor procedures to optimize weight loss and minimize complications such as malnutrition or dumping syndrome. Additionally, robotic-assisted bariatric surgery has gained popularity, providing greater precision and reducing surgeon fatigue, which may enhance procedural outcomes.

A new concept in patient care is shifting the focus from CROMs (Clinician-Reported Outcome Measurements) to PROMs (Patient-Reported Outcome Measurements). This transition emphasizes the patient's perspective in evaluating surgical outcomes, granting them a more active and central role in their own healthcare journey. By integrating PROMs, we ensure that the patient's experience, satisfaction, and quality of life become key indicators of success, reinforcing the idea that they rightfully deserve to be at the heart of our medical practice.

With ongoing innovations, bariatric surgery continues to evolve, offering safer, more effective, and personalized solutions for obesity treatment. Further research and long-term studies will determine the full impact of these new approaches.

Dr. Marius Nedelcu
Guest Editor

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Keywords

  • bariatric surgery
  • metabolic surgery
  • endoscopic sleeve gastroplasty
  • PROM in bariatric surgery
  • BariClip

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Published Papers (1 paper)

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Research

9 pages, 914 KiB  
Article
Three-Dimensional Model Improves Body Image Perception After Bariatric Surgery
by Cyril Gauthier, Matthieu Poussier, Célia Lloret-Linares, Marc Danan and Anamaria Nedelcu
J. Clin. Med. 2025, 14(13), 4787; https://doi.org/10.3390/jcm14134787 - 7 Jul 2025
Viewed by 257
Abstract
Background: Despite losing weight, the majority of subjects retained an obese view of themselves. The aim of the study was to evaluate the usefulness of a 3D modeling tool in improving the body image of patients who have undergone bariatric surgery. Methods [...] Read more.
Background: Despite losing weight, the majority of subjects retained an obese view of themselves. The aim of the study was to evaluate the usefulness of a 3D modeling tool in improving the body image of patients who have undergone bariatric surgery. Methods: Morbidly obese subjects involved in a medico-surgical obesity management program and having undergone a Roux en Y Gastric Bypass (RYGB) or a sleeve gastrectomy (SG) were prospectively included during their usual postoperative medical follow-up. The figure rating scale (FRS), body image questionnaire, and Hospital Anxiety Depression Scale test were performed. The FRS was assessed before and after visualizing their body image using a 3D modeling tool. Distributions between the groups for gender (female vs. male) and type of surgery (gastric bypass vs. sleeve gastrectomy) were tested with a Pearson’s chi2 independence test. The significance threshold was p < 0.05. Results: We included 140 adults with sleeve gastrectomy (72.9%; n = 102) or gastric bypass (27.1%; n = 38). The mean time from surgery was 308.3 ± 111.4 days (63–511). Participants were mostly female (77.9%; n = 109). Nearly half of the subjects who had undergone bariatric surgery almost one year before modified their body perception after visualizing their avatar thanks to a 3D modeling tool. One third reduced their FRS score (“perceived body”) after visualizing their avatar. FRS score and body mass index (BMI) following surgery (“real body”) were significantly correlated before and after visualizing the 3D avatar, with a stronger correlation after visualizing the 3D avatar. Conclusions: A 3D modeling tool may improve body perception after weight loss in subjects with bariatric surgery. Being simple, non-invasive, not expansive, and easy to use during a consultation and to understand for the patient, a regular use of this tool may be largely implemented in clinical practice. Its usefulness in improving body image, mood disorders, and eating disorders and the further success of the surgery should be further evaluated. Full article
(This article belongs to the Special Issue New Approaches in Bariatric Surgery)
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