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Medicina
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Current Issues and Developments in Bariatric and Metabolic Surgery for...
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Current Issues and Developments in Bariatric and Metabolic Surgery for Severe Obesity

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

Deadline for manuscript submissions: 30 November 2025 | Viewed by 924

Special Issue Editor

Dr. Andrew G Robertson

E-Mail Website
Guest Editor
Clinical Department of Surgery, University of Edinburgh, Royal Infirmary, Edinburgh EH8 9YL, UK
Interests: Bariatric and metabolic surgery; emergency general surgery; surgical outcomes

Special Issue Information

Dear Colleagues,

Severe obesity is an increasing problem worldwide and a leading cause of early mortality and health concerns. Bariatric and metabolic surgery is a safe and effective treatment with excellent long-term results regarding weight loss, comorbidity, and disease prevention. Bariatric surgery continues to develop, in terms of safety, indications, and improved outcomes. Endobariatric surgery is a subsequent new subset of bariatric interventions that have been shown to have promising outcomes.

This Special Issue aims to promote current research into updates, new issues, or developments in bariatric and endobariatric surgery and treating obesity.

We are soliciting all cutting-edge papers on bariatric and metabolic surgery, endobariatric treatments, and obesity and its management.

Dr. Andrew G Robertson
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • bariatric and metabolic surgery
  • obesity
  • endobariatric surgery

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Published Papers (1 paper)

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Research

11 pages, 1409 KB  
Article
Intravenous Iron Infusion in the Treatment of Iron Deficiency Anaemia Following Bariatric and Metabolic Surgery and Correlation with Gynaecological Disorders: Retrospective Review of Experience from a Tertiary Centre
by Emma MacVicar, Nivar Saleh, Joy Tneoh, James Lucocq, Georgios Geropoulos, Beverley Wallace, Anne Ewing, Peter J. Lamb, Gillian Drummond, Brian Joyce and Andrew G. Robertson
Medicina 2025, 61(9), 1647; https://doi.org/10.3390/medicina61091647 - 11 Sep 2025
Viewed by 549
Abstract
Background and Objectives: Iron deficiency anaemia (IDA) is a common consequence of bariatric and metabolic surgery (BMS). Women are at higher risk, and some patients cannot tolerate oral iron. This study aimed to report the demographics of patients with IDA that required [...] Read more.
Background and Objectives: Iron deficiency anaemia (IDA) is a common consequence of bariatric and metabolic surgery (BMS). Women are at higher risk, and some patients cannot tolerate oral iron. This study aimed to report the demographics of patients with IDA that required iron infusion post-BMS and to investigate risk factors including gynaecological dysfunction. Materials and Methods: The medical records for all patients (n = 383) post-BMS at a large tertiary centre from January 2017 to December 2024 were reviewed, and those who received intravenous iron infusion (n = 32) for IDA were included. The criteria for iron infusion were ferritin < 50 µg/L or intolerance to oral iron. Demographic information including co-morbidities—gynaecological and other—age, pre-operative weight, body mass index (BMI), and ferritin levels were collected to investigate possible risk factors for IDA. Results: Thirty-two patients, all female, received one or more parenteral iron infusions. Eighteen had surgery locally; 14 had surgery elsewhere. Operations varied and included 14 Roux-en-Y gastric bypasses, 14 sleeve gastrectomy’s, and 4 gastric bands or other procedures. Eleven patients had a history of gynaecological disorders. Pre-infusion ferritin levels in the cohort with gynaecological disorders versus the cohort without were lower (median 11.0 vs. 14.5 µg/L), with a shorter time to presentation (median 6.9 vs. 10.2 years), and more patients requiring >2 infusions for resolution of symptoms (36.4% vs. 9.5%). Conclusions: Locally, 95% of our patients did not require iron infusion post-BMS. Eighty percent of those who did require iron infusion responded to ≤2 infusions. Women with a history of gynaecological disorder who underwent BMS required a significantly higher number of iron infusions and presented with symptoms sooner post-operatively vs. those without gynaecological disorders, particularly following Roux-en-Y gastric bypass. This is an important observation to consider both pre- and post-operatively for patients undergoing bariatric surgery, and additional well-designed studies that investigate this further are needed. Full article
(This article belongs to the Special Issue Current Issues and Developments in Bariatric and Metabolic Surgery for Severe Obesity)
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