Future Prospects of Metabolic and Bariatric Surgery: A Comprehensive Review.

Autor:	Hage K; Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA., Perrotta G; Karsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA., Betancourt RS; Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA., Danaf J; College of Medicine, Kansas City University, Kansas City, MO 64804, USA., Gajjar A; Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA., Tomey D; Department of Surgery, Houston Methodist Hospital, Houston, TX 77030, USA., Marrero K; Carle Foundation Hospital General Surgery Residency, Champaign, IL 61801, USA., Ghanem OM; Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Aug 26; Vol. 12 (17). Date of Electronic Publication: 2024 Aug 26.
DOI:	10.3390/healthcare12171707
Abstrakt:	Background: The field of metabolic and bariatric surgery (MBS) is currently an expanding surgical field with constant refinements in techniques, outcomes, indications, and objectives. MBS has been effectively applied across diverse patient demographics, including varying ages, genders, body mass indexes, and comorbidity statuses. Methods: We performed a comprehensive literature review of published retrospective cohort studies, meta-analyses, systematic reviews, and literature reviews from inception to 2024, reporting outcomes of MBS using databases such as PubMed, ScienceDirect, and Springer Link. Results: MBS is a safe and efficient therapeutic option for patients with obesity and associated medical conditions (mortality rate 0.03-0.2%; complication rates 0.4-1%). The favorable safety profile of MBS in the short-, mid-, and long-term offers the potential to treat patients with obesity and type 2 diabetes mellitus, immunosuppression, chronic anticoagulation, neoplastic disease, and end-organ failure without increased morbidity and mortality. Conclusions: In conclusion, the future of MBS lies in the ongoing innovation and adapted therapeutic strategies along with the integration of a variety of other techniques for managing obesity. Careful preoperative assessments, coupled with a multidisciplinary approach, remain essential to ensure optimal surgical outcomes and patient satisfaction after MBS.
Databáze:	MEDLINE
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