title: Surgical Management of Metabolic Syndrome Related to Morbid Obesity.
abstract: Current treatment approaches in morbid obesity are multimodal in nature. Combination therapies include increases in moderate-intensity aerobic and resistance exercise; behavioral lifestyle changes to increase compliance with diet and activity recommendations; medical nutrition therapy; intensive medical therapy; and metabolic surgical procedures, such as gastric bypass and vertical sleeve gastrectomy. This article focuses on the preoperative evaluation and proper patient selection for metabolic surgery. The procedures are discussed relative to their anatomy, metabolic mechanism of action, and common adverse effects.
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, MD, USA. Electronic address: scott.rehrig@usuhs.edu.
authors.forename: Scott T
authors.initials: ST
authors.lastname: Rehrig
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D004032:Diet; D015444:Exercise; D006403:Hematologic Tests; D006801:Humans; D008603:Mental Health; D009752:Nutritional Status; D009767:Obesity, Morbid / Q000601:surgery*; D010353:Patient Education as Topic; D015431:Weight Loss
keywords: Bile acids; Gut microbiome; Metabolic surgery; Morbid obesity; Multimodal surgical pathway; Surgical outcomes; Surgical risk