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From the Knife to the Endoscope—a History of Bariatric Surgery

  • Health Services and Programs (R Welbourn and C Borg, Section Editors)
  • Published:
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Abstract

Purpose of Review

Current bariatric surgical practice has developed from early procedures, some of which are no longer routinely performed. This review highlights how surgical practice in this area has developed over time.

Recent Findings

This review outlines early procedures including jejuno-colic and jejuno-ileal bypass, initial experience with gastric bypass, vertical banded gastroplasty and biliopancreatic diversion with or without duodenal switch. The role laparoscopy has played in the widespread utilization of surgery for treatment of obesity will be described, as will the development of procedures which form the mainstay of current bariatric surgical practice including gastric bypass, sleeve gastrectomy and adjustable gastric banding. Endoscopic therapies for the treatment of obesity will be described.

Summary

By outlining how bariatric surgical practice has developed over time, this review will help practicing surgeons understand how individual procedures have evolved and also provide insight into potential future developments in this field.

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  1. Department of Bariatric Surgery, Homerton University Hospital, Homerton Row, London, E9 6SR, UK

    T. Wiggins, M. S. Majid & S. Agrawal

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Wiggins, T., Majid, M.S. & Agrawal, S. From the Knife to the Endoscope—a History of Bariatric Surgery. Curr Obes Rep 9, 315–325 (2020). https://doi.org/10.1007/s13679-020-00386-x

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