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- Title
The Evolution of Metabolic/Bariatric Surgery.
- Authors
Buchwald, Henry
- Abstract
Metabolic surgery is defined as 'the operative manipulation of a normal organ or organ system to achieve a biological result for a potential health gain.' The evolution of metabolic/bariatric surgery can be viewed from several perspectives: (1) realization that bariatric surgery has always been and will always be metabolic surgery; (2) lessons to be learned from the six dominant procedures; (3) overview of the other operations that have been proposed; (4) discussion of mechanisms of action; (5) physiology of energy metabolism; and (6) introduction to the emerging concept of inflammation. This review will end with thoughts on the present and future outcomes from the knowledge we have gained from metabolic/bariatric surgery. The author concludes with the statement: Metabolic surgery is cognitive surgery.
- Subjects
BARIATRIC surgery; METABOLIC disorder treatment; ENERGY metabolism regulation; GASTRIC banding; GASTRIC bypass
- Publication
Obesity Surgery, 2014, Vol 24, Issue 8, p1126
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-014-1354-3