title: Bariatric and metabolic surgery: current trends and what's to follow.
abstract: OBJECTIVE
  Obesity is a global epidemic and bariatric surgery remains an underperformed modality for its treatment. Even though the dangers of obesity are well understood, surgical intervention is underestimated. The purpose of this review is to discuss emerging trends in bariatric surgery.
  
  
  RESULTS
  Studies suggest that different operations have different effects on both obesity and its comorbidities. Combining the concepts of malabsorption and restriction, we are looking toward more advanced and efficient treatment options. Less-invasive techniques such as endoscopic devices are under investigation and their results remain to be determined.
  
  
  CONCLUSIONS
  A paradigm shift is occurring and both obesity and diabetes will be increasingly treated with surgical and endoscopic procedures. Bariatric care is a growing field for surgeons and therapeutic endoscopists with many future opportunities for improvement.
authors.affiliation: Department of Surgery, Lenox Hill Hospital, New York, New York, USA.
authors.forename: Mitchell S
authors.initials: MS
authors.lastname: Roslin
authors.forename: Courtney
authors.initials: C
authors.lastname: Cripps
authors.forename: Angeliki
authors.initials: A
authors.lastname: Peristeri
mesh_terms: D050110:Bariatric Surgery / Q000379:methods / Q000639:trends*; D003924:Diabetes Mellitus, Type 2 / Q000601:surgery; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D006801:Humans; D024821:Metabolic Syndrome / Q000601:surgery; D009369:Neoplasms / Q000209:etiology / Q000517:prevention & control; D009765:Obesity / Q000150:complications / Q000601:surgery*; D016032:Randomized Controlled Trials as Topic / Q000379:methods