BACKGROUND: Obesity is a pandemic associated with significant morbidity and mortality. This historical article charts the progress of successful strategies that have been used to tackle weight loss from dietary modifications to the development of surgical interventions that have subsequently evolved. It also provides a précis of the reported outcome data following minimally invasive bariatric procedures. METHODS: A literature review was performed. All articles relevant to the progression of bariatric surgery and minimally invasive surgery were assessed, as were those articles that described the ultimate evolution, combination, and establishment of the two techniques. RESULTS: This article charts the progression of early weight loss strategies, from early dietary modifications and pharmacologic interventions to initial techniques in small bowel bypass procedures, banding techniques, and sleeve gastrectomies. It also describes the simultaneous developments of endoscopic interventions and laparoscopic procedures. CONCLUSIONS: A range of procedures are described, which differ in their success in terms of loss of excess weight and in their complication rates. Weight loss is greatest for biliopancreatic diversion followed by gastric bypass and sleeve gastrectomy and least for adjustable gastric banding. Bariatric surgery is an evolving field, which will continue to expand given current epidemiologic trends. Developments in instrumentation and surgical techniques, including single access and natural orifice approaches, may offer further benefit in terms of patient acceptability.
BACKGROUND: Obesity is a pandemic associated with significant morbidity and mortality. This historical article charts the progress of successful strategies that have been used to tackle weight loss from dietary modifications to the development of surgical interventions that have subsequently evolved. It also provides a précis of the reported outcome data following minimally invasive bariatric procedures. METHODS: A literature review was performed. All articles relevant to the progression of bariatric surgery and minimally invasive surgery were assessed, as were those articles that described the ultimate evolution, combination, and establishment of the two techniques. RESULTS: This article charts the progression of early weight loss strategies, from early dietary modifications and pharmacologic interventions to initial techniques in small bowel bypass procedures, banding techniques, and sleeve gastrectomies. It also describes the simultaneous developments of endoscopic interventions and laparoscopic procedures. CONCLUSIONS: A range of procedures are described, which differ in their success in terms of loss of excess weight and in their complication rates. Weight loss is greatest for biliopancreatic diversion followed by gastric bypass and sleeve gastrectomy and least for adjustable gastric banding. Bariatric surgery is an evolving field, which will continue to expand given current epidemiologic trends. Developments in instrumentation and surgical techniques, including single access and natural orifice approaches, may offer further benefit in terms of patient acceptability.
Authors: Eliza A Conaty; Nicolas J Bonamici; Matthew E Gitelis; Brandon J Johnson; Francis DeAsis; JoAnn M Carbray; Brittany Lapin; Raymond Joehl; Woody Denham; John G Linn; Stephen P Haggerty; Michael B Ujiki Journal: J Gastrointest Surg Date: 2016-02-10 Impact factor: 3.452
Authors: Georgios Antonios Margonis; Gaya Spolverato; Yuhree Kim; Hugo Marques; George Poultsides; Shishir Maithel; Luca Aldrighetti; Todd W Bauer; Nicolas Jabbour; T Clark Gamblin; Kevin Soares; Timothy M Pawlik Journal: J Gastrointest Surg Date: 2014-12-18 Impact factor: 3.452
Authors: Aslam Ejaz; Teviah Sachs; Jin He; Gaya Spolverato; Kenzo Hirose; Nita Ahuja; Christopher L Wolfgang; Martin A Makary; Matthew Weiss; Timothy M Pawlik Journal: Surgery Date: 2014-07-10 Impact factor: 3.982
Authors: Gaya Spolverato; Yuhree Kim; Aslam Ejaz; Vicente Valero; Malcolm H Squires; George Poultsides; Ryan C Fields; Mark Bloomston; Sharon M Weber; Alexandra W Acher; Konstantinos Votanopoulos; Carl Schmidt; Clifford S Cho; Shishir K Maithel; Timothy M Pawlik Journal: J Gastrointest Surg Date: 2014-06-10 Impact factor: 3.452