Trends in Bariatric and Metabolic Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (31 March 2025) | Viewed by 1507

Special Issue Editors


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Guest Editor
Division of General Surgery, Tel Aviv Sourasky Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, 6, Weizman St., Tel Aviv 6423906, Israel
Interests: bariatric surgery; obesity

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Guest Editor Assistant
Division of General Surgery, Tel Aviv Sourasky Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, 6, Weizman St., Tel Aviv 6423906, Israel
Interests: bariatric surgery; obesity

Special Issue Information

Dear Colleagues,

Severe obesity is a global epidemic whose prevalence has more than doubled since the 21st century. According to the WHO, obesity affects 16% of the population. It is associated with many diseases, including type 2 diabetes, hypertension, obstructive sleep apnea, metabolic-associated fatty liver, gastroesophageal reflux diseases, cardiovascular diseases, and more. It is also associated with several types of cancer. Bariatric surgery has emerged as the most effective treatment for obesity, achieving long-term sustained weight loss improvement up to the resolution of obesity-related diseases, a decrease in cancer incidence, and increased quality of life and life expectancy. Bariatric and metabolic surgeries have become very popular in the last two decades owing to their significant advantages. However, patients may face complications during the postoperative follow-up, which may require additional evaluation and, sometimes, revisional surgery, currently accounting for 10–20% of all bariatric surgeries, with the rates expected to further increase.

The purpose of this Special Issue is to explore the latest advancements, challenges, complications, and short- and long-term outcomes of bariatric surgery, providing valuable insights into the current era of bariatric and metabolic surgery. The topics will include innovative surgical techniques, the treatment of complications, revisional surgery, and the role of anti-obesity medications and their impact on metabolic syndrome and cancer.

Dr. Shai Meron Eldar
Guest Editor

Dr. Adam Abu Abeid
Guest Editor Assistant

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Keywords

  • bariatric surgery
  • metabolic surgery
  • obesity
  • weight loss
  • complications
  • revisional surgery
  • diabetes
  • cancer
  • outcomes

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Published Papers (1 paper)

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Research

9 pages, 841 KiB  
Article
Religious Fasting Following Metabolic and Bariatric Surgery (MBS): Insights from Jewish Practices in Israel
by Shai Meron Eldar, Andrei Keidar, Adam Abu-Abeid and on behalf of the ISMBS Collaborative Group
Medicina 2024, 60(12), 2058; https://doi.org/10.3390/medicina60122058 - 13 Dec 2024
Viewed by 1115
Abstract
Background and Objectives: Religious fasting in patients after Metabolic and Bariatric Surgery (MBS) remains a topic with limited clarity. This study aims to present the results of a survey on religious fasting in patients after MBS in Israel. The questionnaire was sent [...] Read more.
Background and Objectives: Religious fasting in patients after Metabolic and Bariatric Surgery (MBS) remains a topic with limited clarity. This study aims to present the results of a survey on religious fasting in patients after MBS in Israel. The questionnaire was sent to members of the Israeli Society for Metabolic and Bariatric Surgery (ISMBS). Materials and Methods: An online questionnaire survey was designed and distributed to members of the ISMBS. The survey consisted of 23 questions addressing religious fasting in patients after MBS and was divided into three sections: (1) MBS surgeon clinical experience, (2) clinical considerations regarding religious fasting in MBS patients, and (3) fasting-related complications in MBS patients. Responses were recorded and presented as numbers (percentages), with results analyzed descriptively and/or graphically. Results: The ISMBS has 63 active members, and 37 members (59%) responded to the survey. Most respondents have more than 10 years of MBS experience and perform more than 100 MBS procedures annually (67.5% and 54%, respectively). In general, 81.1% of respondents permit religious fasting in patients after MBS, and 73% think that fasting could be safe at least 12 months after MBS. Most (62.2%) agree that a clinical evaluation should be undertaken prior to permitting religious fasting; 40% of respondents note that there is increased patient admission to emergency rooms during religious fasting, mostly due to dehydration. When asked about fasting risks, most noted hypoglycemia (40.5%) and the evolution of marginal ulcers (16.2%). Conclusions: In conclusion, these national survey results emphasize the variations in MBS surgeons’ opinions regarding religious fasting after MBS. Despite these differences, there were still many similarities in responses such as timing and fasting permission, and this study could aid clinicians in the future when consulted on religious fasting by MBS patients. Full article
(This article belongs to the Special Issue Trends in Bariatric and Metabolic Surgery)
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