Gastric Sleeve Surgery: Techniques, Outcomes, and Future Directions

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 2016

Special Issue Editors


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Guest Editor
Department of Human Physiology and Patophysiology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski, 01-938 Warsaw, Poland
Interests: nutrition and supplementation after bariatric surgery; pregnancy after bariatric surgery; laparoscopic sleeve gastrectomy
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Guest Editor
Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine—National Research Institute, Szaserów 128 St., 04-141 Warsaw, Poland
Interests: metabolic disorders; obesity; type 2 diabetes mellitus; bariatric surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Even though it is commonly known among the general population, as well as the medical community, that obesity has become a global pandemic, the number of people it affects is constantly growing. Bariatric surgery is the mainstay treatment for obesity, as it is the only method with long-term effects measured by weight reduction and co-morbidity remission. While laparoscopic sleeve gastrectomy (LSG) has been performed for more than 30 years, it has become more popular during the last decade, among both patients and bariatric surgeons. LSG is a repeatable, relatively simple surgical technique with a short learning curve. However, not all aspects of this technique and its effectiveness in treating obesity have been clearly studied and described.

The Special Issue will focus on the operative technique, the effects of surgery on obesity treatment, and future challenges through original papers and literature reviews.

Prof. Dr. Anna Maria Różańska-Walędziak
Dr. Maciej Walędziak
Guest Editors

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Keywords

  • laparoscopic sleeve gastrectomy
  • bariatric surgery
  • obesity

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Published Papers (1 paper)

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10 pages, 289 KiB  
Article
Bariatric Surgery and Metabolic Status
by Anna Różańska-Walędziak, Krzysztof Wyszomirski, Małgorzata Kaszuba, Anna Mierzejewska, Ewa Skopińska and Maciej Walędziak
Medicina 2024, 60(9), 1532; https://doi.org/10.3390/medicina60091532 - 20 Sep 2024
Viewed by 1456
Abstract
Background and Objectives: Obesity is associated with numerous co-morbidities, including dyslipidemia, insulin resistance and diabetes mellitus. Bariatric surgery is the mainstay of treatment for obesity as the only method with confirmed long-term effects in weight reduction and the remission of comorbidities. Postoperative [...] Read more.
Background and Objectives: Obesity is associated with numerous co-morbidities, including dyslipidemia, insulin resistance and diabetes mellitus. Bariatric surgery is the mainstay of treatment for obesity as the only method with confirmed long-term effects in weight reduction and the remission of comorbidities. Postoperative recommendations leading to changes in dietary habits and changes in digestion and absorption in the gastrointestinal tract after bariatric surgery may additionally influence the levels of laboratory parameters that reflect the metabolic and nutritional status. The purpose of the study was to analyze the possible influence of changes in dietary habits after bariatric surgery on those laboratory results that reflect the metabolic and nutritional status. Materials and Methods: This was a retrospective study of 88 patients with a history of bariatric surgery. Data were gathered from before the surgery and at 6 months after the surgery and included diet structure and selected laboratory parameters reflecting the metabolic and nutritional status, i.e., levels of fasting glucose, glycated hemoglobin, cholesterol, low- and high-density lipoproteins, triglycerides, alanine and aspartate aminotransferases, proteins, ferrum, ferritin, vitamin B12, folic acid, vitamin D and calcium, the red blood cell count and the hematocrit. Results: Postoperative festive glucose levels were reduced by 14% and were more significant in patients after Roux-en-Y gastric bypass. There was an increase of 22% in concentrations of high-density lipoproteins. Triglyceride concentrations were reduced by 32%. Aminotransferase levels decreased by 43% for alanine aminotransferase and by 14% for aspartate aminotransferase. Among the changes in dietary habits, post-bariatric patients had a reduced consumption of red meat and an increased consumption of fish, milk and dairy products and wholegrain products. Vitamin D and ferrum levels were higher after the surgery, whereas vitamin B12 and folic acid levels remained unchanged. Conclusions: Improved dietary habits of patients after bariatric surgery may lead to changes in laboratory parameters that reflect the ameliorated metabolic and nutritional status of patients after bariatric surgery. Full article
(This article belongs to the Special Issue Gastric Sleeve Surgery: Techniques, Outcomes, and Future Directions)
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