Site Overlay

Metabolic surgery as a treatmentfor metabolic syndrome – aliterature review and a clinicalcase

Volume 12, Issue 1

Original Article / Published: December 2024

DOI:

K. Terzieva, M. Kalinkova

Department of Endocrinology, Acibadem City Clinic, Tokuda University Hospital, Sofia

Abstract

Obesity is a pandemic that continues to spread as the world continues to modernize. Medical therapy is frequently utilized to help obese patients with weight reduction but is often insufficient for achieving meaningful and sustainable results. Weight loss surgery, also referred to as bariatric surgery, has been an option for treatment since the 1950’s. Throughout its long history, it has evolved from an era of high morbidity and mortality to one of laudable safety despite the high-risk nature of the patients undergoing these major gastrointestinal procedures. This article includes a history review of the different types of surgical techniques, discusses the need for plastic surgery after bariatric interventions and introduces a clinical case from our practice, in which the two procedures were applied.

References

  1. Phillips BT, Shikora SA. The history of metabolic and bariatric surgery: Development of standards for patient safety and efficacy. Metabolism. 2018 Feb;79:97-107. doi: 10.1016/j.metabol.2017.12.010. Epub 2018 Jan 5. PMID: 29307519.
  2. Martin M, Beekley A, Kjorstad R, Sebesta J. Socioeconomic disparities in eligibility and access to bariatric surgery: a national population-based analysis. Surg Obes Relat Dis 2010; 6(1):8–15.
  3. Nguyen N, Champion JK, Ponce J, Quebbemann B, Patterson E, Pham B, Raum W, Buchwald JN, Segato G, Favretti F. A review of unmet needs in obesity management. Obes Surg. 2012 Jun;22(6):956-66. doi: 10.1007/s11695-012-0634-z. PMID: 22438220.
  4. Pories, Walter J. M.D.; Swanson, Melvin S. Ph.D.; MacDonald, Kenneth G. M.D.; Long, Stuart B. B.S.; Morris, Patricia G. B.S.N.; Brown, Brenda M. M.R.A.; Barakat, Hisham A. Ph.D.; deRamon, Richard A. M.D.; Israel, Gay Ed.D.; Dolezal, Jeanette M. Ph.D.; Dohm, Lynis Ph.D.. Who Would Have Thought It? An Operation Proves to Be the Most Effective Therapy for Adult-Onset Diabetes Mellitus. Annals of Surgery 222(3):p 339-352, September 1995.
  5. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database of Systematic Reviews 2014, Issue 8. Art. No.: CD003641. DOI: 10.1002/14651858.CD003641.pub4. Accessed 28 October 2024.
  6. Henrikson V. [Kan tunnfarmsresektion forsvaras som terapimot fettsot? Nordisk Medicin. 1952;47:744]. Can small bowel resection be defended as therapy for obesity? Obes Surg 1994;4(1):54–5.
  7. Chang S, Stoll CRT, Song J, Varela JE, Eagon CJ, Colditz GA. The Effectiveness and Risks of Bariatric Surgery: An Updated Systematic Review and Meta-analysis, 2003-2012. JAMA Surg. 2014;149(3):275 287. doi:10.1001/jamasurg.2013.3654
  8. Weiner, R. Indikation und Prinzipien der metabolischen Chirurgie. Chirurg 81, 379–396 (2010). https://doi.org/10.1007/ s00104-009-1859-9
  9. Unpublished data from the American Society for Bariatric Surgery cited in: Steinbrook R Surgery for Severe Obesity, N Engl J Med 2004;350(11):1075–9.
  10. American Society for Metabolic and Bariatric Surgery. Estimate of bariatric surgery numbers,2011–2016.https://asmbs. org/resources/estimate-of-bariatric-surgery-numbers,Access ed date: 15 November 2017.
  11. Angrisani, L., Santonicola, A., Iovino, P. et al. Bariatric Surgery and Endoluminal Procedures: IFSO Worldwide Survey 2014. OBES SURG 27, 2279–2289 (2017). https://doi.org/10.1007/ s11695-017-2666-x
  12. Buchwald, H., Oien, D.M. Metabolic/Bariatric Surgery Worldwide 2011. OBES SURG 23, 427–436 (2013). https://doi. org/10.1007/s11695-012-0864-0
  13. Buchwald, H., and R. D. Rucker. “The rise and fall of jejunoileal bypass.” Surgery of the small intestine. Appleton Century Crofts, Norwalk, CT (1987): 529-541.
  14. Kremen, Arnold J. M.D.; Linner, John H. M.D; Nelson, Charles H. M.D.. AN EXPERIMENTAL EVALUATION OF THE NUTRITIONAL IMPORTANCE OF PROXIMAL AND DISTAL SMALL INTESTINE. Annals of Surgery 140(3):p 439, September 1954.
  15. Payne JH, DeWind LT, Commons RR. Metabolic observations in patients with jejunocolic shunts. Am J Surg 1963;106(2):273–89.
  16. Baker MT. The history and evolution of bariatric surgical procedures. Surg Clin North Am 2011;91(6):1181–201.
  17. Payne JH, DeWind LT, Commons RR. Metabolic observations in patients with jejunocolic shunts. Am J Surg 1963;106(2):273–89.
  18. Halverson JD, Scheff RJ, Gentry K, Alpers DH. Jejunoileal bypass. Late metabolic sequelae and weight gain. Am J Surg1980;140(3):347–50.
  19. Lowell JA, Shenoy S, Ghalib R, Caldwell C, White FV, Peters M, et al. Liver transplantation after jejunoileal bypass for morbid besity. J Am Coll Surg 1997;185(2):123–7.
  20. Moshiri M, Osman S, Robinson TJ, Khandelwal S, Bhargava P, Rohrmann CA. Evolution of bariatric surgery: a historical perspective. Am J Roentgenol 2013;201(1):W40–8.
  21. Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V. Bilio-pancreatic bypass for obesity: II. Initial experience in man. Br J Surg 1979;66(9):618–20.
  22. Marceau P, Biron S, Bourque RA, Potvin M, Hould FS, Simard S. Biliopancreatic diversion with a new type of gastrectomy. Obes Surg 1993;3(1):29–35.
  23. Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg 1998;8(3):267–82.
  24. Printen KJ, Mason EE. Gastric surgery for relief of morbid obesity. Arch Surg 1973;106(4):428–31.
  25. Buchwald, H. The Evolution of Metabolic/Bariatric Surgery. OBES SURG 24, 1126–1135 (2014). https://doi.org/10.1007/ s11695-014-1354-3
  26. Wilkinson LH, Peloso OA. Gastric (reservoir) reduction for morbid obesity. Arch Surg 1981;116(5):602–5.
  27. Kuzmak LI. Silicone gastric banding: a simple and effective operation for morbid obesity. Contemp Surg 1986;28:13–8.
  28. Steinbrook R. Surgery for severe obesity. N Engl J Med 2004;350(11):1075–9.
  29. Jaunoo SS, Southall PJ. Bariatric surgery. Int J Surg 2010;8(2):86–9.
  30. Karamanakos SN, Vagenas K, Kalfarentzos F, Alexandrides TK. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective,double blind study. Ann Surg 2008;247(3):401–7.
  31. Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am 1967;47(6):1345–51.
  32. GRIFFEN, WARD O. JR. M.D., PH.D.; YOUNG, V. LEROY M.D.; STEVENSON, CRAIG C. PH.D.. A Prospective Comparison of Gastric and Jejunoileal Bypass Procedures for Morbid Obesity. Annals of Surgery 186(4):p 500-509, October 1977.
  33. Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. ObesSurg 1994;4(4):353–7.
  34. Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Rouxen-Y – 500 patients: technique and results, with 3–60 month follow-up. Obes Surg 2000;10(3):233–9.
  35. Kendrick ML, Dakin GF. Surgical approaches to obesity. MayoClin Proc 2006;81(10):S18–24.
  36. Nguyen NT. Open vs. laparoscopic procedures in bariatric surgery. J Gastrointest Surg 2004;8(4):393–5.
  37. Reoch J, Mottillo S, Shimony A, Filion KB, Christou NV, Joseph L, et al. Safety of laparoscopic vs open bariatric surgery: a systemic review and meta-analysis. Arch Surg 2011;146(11):1314–22.
  38. Elliot JA, Patel VM, Kirresh A, Ashrafian H, Le Roux CW, Olbers T, et al. Fast-track laparoscopic bariatric surgery: a systematic review. Updates Surg 2013;65(2):85–94.
  39. Thomas H., Agrawal S. Systematic review of 23-hour (outpatient) stay laparoscopic gastric bypass surgery. J. Laparoendosc Adv Surg Tech 2011;21(8):677–81.

Keywords:

primary hyperoxaluria,
kidney stones, renal failure, enzyme
activity.

How to cite this article:

K Terzieva, M Kalinkova Metabolic surgery as a treatment for metabolic syndrome – a literature review and a clinical
case; Journal of Endourology and
Minimally Invasive Surgery, 2024;12(1): 31-37

Corresponding author:

Dr. Krista Terzieva
Acibadem City Clinic Tokuda Hospital
Endocrinology Department
bul. “Nikola Y. Vaptsarov” 51B, 1407
Sofia


e-mail: krista6122@gmail.com; Tel:+359889621174