Next Article in Journal
Prospective Placebo-Controlled Assessment of Spore-Based Probiotic Supplementation on Sebum Production, Skin Barrier Function, and Acne
Next Article in Special Issue
Efficacy of Sleeve Gastrectomy with Concomitant Hiatal Hernia Repair versus Sleeve–Fundoplication on Gastroesophageal Reflux Disease Resolution: Systematic Review and Meta-Analysis
Previous Article in Journal
Integrative and Mechanistic Approach to the Hair Growth Cycle and Hair Loss
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:

Editorial: Clinical Updates on Bariatric Surgery

Claudio Gambardella
* and
Ludovico Docimo
Division of General, Oncologic, Mini-Invasive and Obesity Surgery, University of Study of Campania “Luigi Vanvitelli”, 80131 Naples, Italy
Author to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(3), 894;
Submission received: 13 January 2023 / Accepted: 19 January 2023 / Published: 23 January 2023
(This article belongs to the Special Issue Clinical Updates on Bariatric Surgery)
Dear Editor and Colleagues,
It is a great honor for us to have the opportunity to introduce this Special Issue on Bariatric Surgery to Journal of Clinical Medicine.
Obesity is currently considered a major health problem, causing an ongoing and decades-long pandemic, which the WHO has termed the “global obesity epidemic” [1]. Although lifestyle modifications and pharmacological interventions are often exploited as first-line interventions, it is clear that bariatric surgery is the most effective strategy, especially in more severe forms of obesity [2]. In this respect, thousands of bariatric procedures (restrictive, malabsorptive, and mixed) are currently performed around the world with exponentially increasing trends and improved outcomes. During recent years, intense scientific activities in this field have been realized, allowing us to obtain more in-depth knowledge regarding the effect of bariatric procedures on obesity comorbidities, a more complete view on perioperative complications, medium-term effectiveness, and new bariatric surgery techniques, among others.
However, there are several dark spots in the field of bariatric surgery that should be better analyzed. For example, the drawbacks of one of the most performed procedures, laparoscopic sleeve gastrectomy, still need to be investigated. Several authors have underlined the worrying increase in postoperative reflux disease after the aforementioned surgery sometimes leading to cases of Barrett’s esophagus. Therefore, the literature debate is ongoing, for example, regarding the effectiveness of associating an anti-reflux plication to the conventional sleeve gastrectomy [2]. Another issue is the long-term effectiveness of the different bariatric techniques and the debated question about the weight regain of insufficient weight loss especially after restrictive procedures [3].
Notably, new malabsorptive procedures, such as the one anastomosis gastric bypass, a recent and increasingly common technique, are not free from worrying medium- and long-term sequelae such as chronic gastritis, remnant ulcers with severe bleeding, and malnutrition, which deserve deep reflection and scientific debate [4,5].
The scope of this topical collection is to provide an overview of the recent advances in the field of bariatric surgery and to provide responses to some of the open questions still present in the world of bariatric surgery. Therefore, we encourage researchers in the field of bariatric surgery to submit an original article (no animal research) or review to this topical collection.

Author Contributions

C.G.: manuscript writing/editing; L.D.: revision. All authors have read and agreed to the published version of the manuscript.

Conflicts of Interest

The authors declare no conflict of interest.


  1. Martinelli, V.; Chiappedi, M. Bariatric Surgery: Psychosocial Aspects and Quality of Life. Int. J. Environ. Res. Public Health 2022, 19, 16516. [Google Scholar] [CrossRef] [PubMed]
  2. del Genio, G.; Tolone, S.; Gambardella, C.; Brusciano, L.; Volpe, M.L.; Gualtieri, G.; del Genio, F.; Docimo, L. Sleeve Gastrectomy and Anterior Fundoplication (D-SLEEVE) Prevents Gastroesophageal Reflux in Symptomatic GERD. Obes. Surg. 2020, 30, 1642–1652. [Google Scholar] [CrossRef] [PubMed]
  3. Pizza, F.; D’Antonio, D.; Asíns, J.A.C.; Lucido, F.S.; Tolone, S.; Docimo, L.; Dell’Isola, C.; Gambardella, C. One Anastomosis Gastric Bypass after Sleeve Gastrectomy Failure: Does a Single Procedure Fit for all? Obes. Surg. 2021, 31, 1722–1732. [Google Scholar] [CrossRef] [PubMed]
  4. Pizza, F.; Lucido, F.S.; D’Antonio, D.; Tolone, S.; Gambardella, C.; Dell’Isola, C.; Docimo, L.; Marvaso, A. Biliopancreatic Limb Length in One Anastomosis Gastric Bypass: Which Is the Best? Obes. Surg. 2020, 30, 3685–3694. [Google Scholar] [CrossRef] [PubMed]
  5. Pizza, F.; D’Antonio, D.; Lucido, F.S.; Tolone, S.; Del Genio, G.; Dell’Isola, C.; Docimo, L.; Gambardella, C. The Role of Ursodeoxycholic Acid (UDCA) in Cholelithiasis Management After One Anastomosis Gastric Bypass (OAGB) for Morbid Obesity: Results of a Monocentric Randomized Controlled Trial. Obes. Surg. 2020, 30, 4315–4324. [Google Scholar] [CrossRef] [PubMed]
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

Share and Cite

MDPI and ACS Style

Gambardella, C.; Docimo, L. Editorial: Clinical Updates on Bariatric Surgery. J. Clin. Med. 2023, 12, 894.

AMA Style

Gambardella C, Docimo L. Editorial: Clinical Updates on Bariatric Surgery. Journal of Clinical Medicine. 2023; 12(3):894.

Chicago/Turabian Style

Gambardella, Claudio, and Ludovico Docimo. 2023. "Editorial: Clinical Updates on Bariatric Surgery" Journal of Clinical Medicine 12, no. 3: 894.

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop