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Clinical Advances in Bariatric Surgery
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Clinical Advances in Bariatric Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: closed (15 December 2023) | Viewed by 1685

Special Issue Editor

Dr. Piotr MaŁczak

E-Mail Website
Guest Editor
Second Department of General Surgery, Jagiellonian University Medical College, Cracow, Poland
Interests: bariatric surgery; laparoscopic; surgery

Special Issue Information

Dear Colleagues,

Obesity is a major widespread issue of the 21st century and will remain so for a long time. Bariatric surgery has been acknowledged as a treatment method for morbid obesity for several decades, and various techniques have been continually developed. It is the only method that allows for long-term, lasting weight loss and remission of comorbidities. Techniques vary from more invasive reconstructions of the gastrointestinal tract, such as classic biliopancreatic diversion or novel single anastomosis sleeve-ileum bypass, to less invasive methods, such as sleeve gastrectomy, or even endoscopic procedures, such as gastric plication. The science behind how bariatric surgery affects weight loss is also evolving, with evidence showing that the mechanism behind it is not only affected by food restriction or malabsorption, but also by hormonal changes. The indications for weight loss surgery have also changed over the years, with the most recent guidelines of the IFSO making them even wider. The pace at which this particular field of medicine is developing is astounding, and clinical advances in bariatric surgery can be observed every day. In this Special Issue, we welcome papers which show how bariatric surgery is changing today.

Dr. Piotr MaŁczak
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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly 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 2600 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 surgery
  • SASI
  • SADI
  • OAGB
  • RYGB
  • gastric plication
  • SG
  • health-related quality of life

Published Papers (2 papers)

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Research

12 pages, 1958 KiB  
Article
Barriers to Adolescents’ Adherence to Medical Advice after Metabolic Bariatric Surgery: A Statistical Analysis
by Evia Shellac, Rachel Lev-Wiesel, Iris Shachar-Lavie, Arie Hadas, Adi Sela, Irit Halifa-Kurzman, Adi Bar-Eyal, Shlomit Shalitin, Dragan Kravarusic, Osher Cohen, Simona Tyroler, Orly Lavan and Silvana Fennig
J. Clin. Med. 2024, 13(6), 1762; https://doi.org/10.3390/jcm13061762 - 19 Mar 2024
Viewed by 518
Abstract
Background: Adolescent obesity has markedly increased worldwide, and metabolic bariatric surgery is an effective treatment option. A major predictor of the outcomes of this procedure is adherence to post-surgery lifestyle changes and medical recommendations. While adolescents generally have more difficulty adhering to medical [...] Read more.
Background: Adolescent obesity has markedly increased worldwide, and metabolic bariatric surgery is an effective treatment option. A major predictor of the outcomes of this procedure is adherence to post-surgery lifestyle changes and medical recommendations. While adolescents generally have more difficulty adhering to medical advice than adults, their failure to do so could adversely affect their physical and psychological health, the cost-effectiveness of medical care, and the results of clinical trials. To our knowledge, this is the first attempt to identify the characteristics associated with the adherence of adolescents and their families to medical advice after bariatric surgery. Methods: We investigated potential variables influencing adherence to medical advice in adolescents diagnosed with severe obesity enrolled in a nutritional and behavior-oriented bariatric program—a 3-month pre-surgical outpatient intervention and a 6-month post-surgical follow-up. The program monitored weight, program attendance, diet compliance, lifestyle changes, and daily activities. All participants and parents completed a standard battery of questionnaires, provided demographic information, and participated in a semi-structured interview about their lifestyle. Results: The study group consisted of 47 adolescents: 34 girls and 13 boys, aged 13–18 years. Over time, three groups emerged with different degrees of adherence—high, low, and delayed low adherence. The analyses showed that adolescents’ depression, autonomy, and independence from their family had strong, significant effects on adherence across the groups. Conclusions: Using adherence typologies, practitioners may be able to identify, predict, and tailor interventions to improve adolescent adherence to post-surgery recommendations. Parents have an important role in ensuring that adolescents undergoing metabolic bariatric surgery follow medical advice after the procedure. Full article
(This article belongs to the Special Issue Clinical Advances in Bariatric Surgery)
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10 pages, 1970 KiB  
Article
Assessment of Lipid Balance Parameters after Laparoscopic Sleeve Gastrectomy in 1-Year Observation
by Patrycja Pawłuszewicz, Paweł Andrzej Wojciak, Aleksander Łukaszewicz, Jan Chilmonczyk, Jerzy Robert Ładny, Klaudiusz Nadolny and Hady Razak Hady
J. Clin. Med. 2023, 12(12), 4079; https://doi.org/10.3390/jcm12124079 - 16 Jun 2023
Viewed by 869
Abstract
Introduction: Currently, the increase in the percentage of obese people observed along with the development of civilization, reaching the level of a global pandemic, has forced a search for methods of effective and permanent obesity treatment. Obesity is a multifactorial disease; it [...] Read more.
Introduction: Currently, the increase in the percentage of obese people observed along with the development of civilization, reaching the level of a global pandemic, has forced a search for methods of effective and permanent obesity treatment. Obesity is a multifactorial disease; it coexists with many disease entities and requires multidisciplinary treatment. Obesity leads to metabolic changes in the form of metabolic syndromes, which include, among others, atherogenic dyslipidemia. The proven relationship between dyslipidemia and cardiovascular risk enforces the need to effectively improve the lipid profile of obese patients. Laparoscopic sleeve gastrectomy is a method of surgical treatment of morbid obesity which improves bariatric and metabolic parameters. The aim of the study was to assess the effectiveness of laparoscopic sleeve gastrectomy (LSG) at improving lipid profile parameters upon a 1-year follow up. Material and Methods: Bariatric parameters of 196 patients who underwent laparoscopic sleeve gastrectomy as well as the lipid profile of total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), non-NDL, and triglycerides (TG) in a 1-year observation were analyzed. Results: Improvements in bariatric parameters were observed in patients after LSG. Total cholesterol, low-density lipoprotein (LDL), triglycerides and non-HDL level decreases were observed along with an increase in high-density lipoprotein (HDL) cholesterol levels. Conclusions: Sleeve gastrectomy is an effective method of treating obesity and improving the lipid profile in obese patients. Full article
(This article belongs to the Special Issue Clinical Advances in Bariatric Surgery)
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