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Outcomes of Metabolic Surgery

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The ASMBS Textbook of Bariatric Surgery

Abstract

The concept of “metabolic surgery” has evolved to indicate a surgical approach aimed at controlling of metabolic illnesses, and not just excess weight. Demographic characteristics, prevalence, and severity of diabetes and cardiovascular disease differ substantially in patients who present for metabolic surgery compared to those who seek conventional bariatric surgery for weight loss. Such differences have important ramifications for preoperative and postoperative patient management as well as outcomes of metabolic surgery. While for decades excess weight loss (EWL) has been a traditional measure of the efficacy of bariatric surgery, remission/improvement of metabolic disease (type 2 diabetes mellitus, hypertension, obstructive sleep apnea, dyslipidemia) and cardiovascular risk reduction are more rational measures of outcomes in metabolic surgery. This chapter aims to define the role of metabolic surgery, review the effects of gastrointestinal surgery on metabolic outcomes from retrospective and observational studies, and review the outcomes of metabolic surgery from prospective randomized controlled trial data.

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Author information

Authors and Affiliations

  1. Bariatric and Metabolic Surgery, King’s College London Consultant, King’s College Hospital, London, UK

    Francesco Rubino MD

  2. Section of Gastrointestinal Metabolic Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, 1300 York Ave, P-714, New York, NY, 10065, USA

    Ashwin Soni MD, BSc

  3. Section of Gastrointestinal Metabolic Surgery, Department of Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, 1300 York Ave, P-714, New York, NY, 10065, USA

    Alpana Shukla MD, MRCP

Authors
  1. Francesco Rubino MD
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  2. Ashwin Soni MD, BSc
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  3. Alpana Shukla MD, MRCP
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Corresponding author

Correspondence to Francesco Rubino MD .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

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Rubino, F., Soni, A., Shukla, A. (2015). Outcomes of Metabolic Surgery. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_31

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  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_31

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

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