COMPARATIVE ANALYSIS OF BARIATRIC SURGERY TECHNIQUES: A SYSTEMATIC REVIEW
Main Article Content
Keywords
Obesity, Bariatric Surgery, Risk Factors
Abstract
Background: Bariatric surgery is a surgical intervention aimed at aiding patients in weight loss, primarily recommended for individuals with severe obesity who have failed to lose weight through conventional methods such as diet and exercise. While bariatric surgery is generally considered safe and effective, it is a complex treatment involving significant dietary and lifestyle modifications. However, there is a potential for adverse effects post-surgery, necessitating a thorough understanding of warning signs and risk factors.
Objective: The objective of this study was to systematically review the literature to identify warning signs and risk factors associated with adverse outcomes following bariatric surgery.
Methods: A systematic review was conducted using the Medical Literature Analysis and Retrieval System Online (Medline) and the Latin American and Caribbean Literature in Health Sciences (Lilacs) database. Qualitative analysis of the retrieved data was performed to identify risk variables and warning signs.
Results: The review identified several risk variables associated with adverse outcomes following bariatric surgery, including genetics, anxiety, excessive intake of sweets, psychological factors influencing eating behavior, disordered eating patterns, lack of control/disinhibition in eating, and postoperative stomach volume changes. Notably, rapid weight loss following surgery raised concerns regarding the potential development of biliary issues, which could lead to morbidity, readmission, reoperation, or other complications.
Conclusion: This systematic review highlights the importance of recognizing warning signs and risk factors for adverse outcomes following bariatric surgery. Healthcare professionals should be vigilant in monitoring patients postoperatively and implementing appropriate interventions to mitigate potential risks and optimize patient outcomes.
References
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11. Guareschi, A. S., Brandner, G. T., Eichinger, J. K., & Friedman, R. J. (2024). Bariatric surgery is associated with increased mechanical complications and revision following total shoulder arthroplasty. Paper presented at the Seminars in Arthroplasty: JSES.
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13. Hughes, D., Aminian, A., Tu, C., Okushi, Y., Saijo, Y., Wilson, R., . . . Griffin, B. P. (2024). Impact of Bariatric Surgery on Left Ventricular Structure and Function. Journal of the American Heart Association, 13(1), e031505.
14. Jaeger, P., Mortier, M., Alhazmi, A., Gaeb, M., & Senkal, M. (2024). Risk factors for multimodal conservative approach failure before bariatric surgery. BJS open, 8(1), zrad152.
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16. Kissmann, A.-K., Paß, F., Ruzicka, H.-M., Dorst, I., Stieger, K. R., Weil, T., . . . Rosenau, F. (2024). Increase of Prominent Probiotics Represents the Major Change in the Gut Microbiota in Female Morbid Obese Patients upon Bariatric Surgery and Are Accompanied with a Switch of Enterotypes.
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18. Łabul, M., Wysocki, M., Małczak, P., Matyja, M., Dowgiałło-Gornowicz, N., Lech, P., . . . Major, P. (2024). The outcomes of Re-Redo bariatric surgery—results from multicenter Polish Revision Obesity Surgery Study (PROSS). Scientific Reports, 14(1), 2699.
19. MacVicar, S., Mocanu, V., Jogiat, U., Verhoeff, K., Dang, J., Birch, D., . . . Switzer, N. (2024). Revisional bariatric surgery for gastroesophageal reflux disease: characterizing patient and procedural factors and 30-day outcomes for a retrospective cohort of 4412 patients. Surgical Endoscopy, 38(1), 75-84.
20. Maghsoodlo, M., Shakibazadeh, E., Mokhtary, Z., Barzin, M., Yaseri, M., & Salimi, Y. (2024). Development and validation of a healthy diet and physical activity tool based on health action process approach among patients undergone bariatric surgery. Journal of Diabetes & Metabolic Disorders, 1-9.
21. Mentias, A., Desai, M. Y., Aminian, A., Patel, K. V., Keshvani, N., Verma, S., . . . Lincoff, A. M. (2024). Trends and Outcomes Associated With Bariatric Surgery and Pharmacotherapies With Weight Loss Effects Among Patients With Heart Failure and Obesity. Circulation: Heart Failure, e010453.
22. Mitra, A. T., Das, B., Sarraf, K. M., Ford-Adams, M., Fehervari, M., & Ashrafian, H. (2024). Bone health following paediatric and adolescent bariatric surgery: a systematic review and meta-analysis. eClinicalMedicine, 69.
23. Nakanishi, H., Mosleh, K. A., Al-Kordi, M., Farsi, S., Chaudhry, S., Marrero, K., . . . Clapp, B. (2024). One anastomosis gastric bypass as revisional surgery following sleeve gastrectomy: a systematic review and meta-analysis. Obesity Surgery, 1-13.
24. Nedelcut, S., Axer, S., & Olbers, T. (2024). The risk and benefit of revisional vs. primary metabolic-bariatric surgery and drug therapy-A narrative review. Metabolism, 155799.
25. Osińska, M., & Walicka, M. (2024). Comparison of pre-and postoperative medication costs in patients who underwent bariatric surgery–a nationwide data analysis. Frontiers in Public Health, 12, 1344040.
26. Paone, E., Di Trani, M., Visani, E., Di Monte, C., Campedelli, V., Silecchia, G., & Lai, C. (2024). Childhood traumatic experiences in people with obesity with and without eating disorders who are seeking bariatric surgery: the role of attachment relationships and family functioning. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 29(1), 1-11.
27. Patel, A., Abu Dayyeh, B. K., Balasubramanian, G., Hinton, A., Krishna, S. G., Brethauer, S., & Hussan, H. (2024). The impact of bariatric surgery on admissions for gastrointestinal complications and conditions associated with obesity: A nationwide study. World Journal of Surgery, 48(1), 175-185.
28. Peña-García, P. E., Fastiggi, V. A., Mank, M. M., Ather, J. L., Garrow, O. J., Anathy, V., . . . Poynter, M. E. (2024). Bariatric surgery decreases the capacity of plasma from obese asthmatic subjects to augment airway epithelial cell proinflammatory cytokine production. American Journal of Physiology-Lung Cellular and Molecular Physiology, 326(1), L71-L82.
29. Perez, A. M., Neag, E., Sridhar, J., & Williams Jr, B. K. (2024). Weight loss, bariatric surgery, and novel antidiabetic drugs effects on diabetic retinopathy: a review. Current Opinion in Ophthalmology, 10.1097.
30. Pletch, A., & Lidor, A. (2024). GERD after Bariatric Surgery: A Review of the Underlying Causes and Recommendations for Management. Current Gastroenterology Reports, 1-8.
31. Ragavan, S., Elhelw, O., Majeed, W., Alkhaffaf, B., Senapati, S., Ammori, B. J., . . . Syed, A. A. (2024). Weight Loss Following Bariatric Surgery in People with or without Metabolic Syndrome: A 5-Year Observational Comparative Study. Journal of Clinical Medicine, 13(1), 256.
32. Rahimi, A. O., Soliman, D., Hsu, C.-H., & Ghaderi, I. (2024). The impact of gender, race, and ethnicity on bariatric surgery outcomes. Surgery for Obesity and Related Diseases.
33. Sanders, A. P., & Vosburg, R. W. (2024). Early Postoperative COVID Infection is Associated with Significantly Increased Risk of Venous Thromboembolism After Metabolic and Bariatric Surgery. Surgery for Obesity and Related Diseases.
34. Schiavon, C. A., Cavalcanti, A. B., Oliveira, J. D., Machado, R. H., Santucci, E. V., Santos, R. N., . . . Halpern, H. (2024). Randomized trial of effect of bariatric surgery on blood pressure after 5 years. Journal of the American College of Cardiology, 83(6), 637-648.
35. Soheilipour, F., & Geram, F. (2024). Lipid profile and the frequency of dyslipidemia in Iranian adolescents with severe obesity who were candidates for bariatric surgery. Obesity Surgery, 1-7.
36. Visaggi, P., Ghisa, M., Barberio, B., Chiu, P. W., Ishihara, R., Kohn, G. P., . . . Hassan, C. (2024). Gastro-esophageal diagnostic workup before bariatric surgery or endoscopic treatment for obesity: position statement of the International Society of Diseases of the Esophagus. Diseases of the Esophagus, doae006.
37. White, G. E., Steers, M. L. N., Bernardi, K., & Kalarchian, M. A. (2024). Food and alcohol disturbance among people who have undergone bariatric surgery. Obesity Science & Practice, 10(1), e738.
38. Wu, Q., Zhao, T., Zhu, C., & Da, M. (2024). Correlation Between Bariatric Surgery and the Risk of Multiple Myeloma: Results from an Evidence-Based Strategy. Obesity Surgery, 1-12.
39. Yassin, S., Sori, N., Gilad, O., Shnell, M., Richer, R., Bar, N., . . . Dayan, D. (2024). Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study. International Journal of Gastrointestinal Intervention, 13(1), 16-22.
40. Ying, L. D., Chao, G. F., Canner, J., Graetz, E., Ghiassi, S., Schwartz, J. S., . . . Gibbs, K. E. (2024). The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients. Obesity Surgery, 34(1), 51-70.
41. Yuan, J. J., Bangalore, R., Darwish, D., Moon, T. S., & Wadhwa, A. (2024). Preoperative Assessment of a Patient Undergoing Bariatric Surgery. Anesthesiology Clinics, 42(1), 169-184.
42. Zhao, S., Hörkkö, S., Savolainen, M. J., Koivukangas, V., Mäkinen, V.-P., Ala-Korpela, M., & Hukkanen, J. (2024). Short-term metabolic changes and their physiological mediators in the Roux-en-Y gastric bypass bariatric surgery. Obesity Surgery, 34(2), 625-634.
2. Alsaqaaby, M. S., Alabduljabbar, K. A., Alruwaili, H. R., Neff, K. J., Heneghan, H. M., Pournaras, D. J., & Le Roux, C. W. (2024). Perceived benefits of bariatric surgery: patient perspectives. Obesity Surgery, 34(2), 583-591.
3. Alzahrani, A. A. S., Alsoliman, M. A. S., Alattiah, T. M. A., & Almohussein, N. S. N. (2024). Glycemic Control in the era of bariatric surgery: A systematic review and meta-analysis of published studies on the Saudi-Arabian population. Journal of Family Medicine and Primary Care, 13(1), 15-19.
4. Bhanushali, A., Kohli, M., Sarvepalli, S. R., Alvi, A. T., Prakash, A., Pandey, A., . . . Desai, R. (2024). Impact of Prior Bariatric Surgery on Mortality in COVID-19 Patients: a Comprehensive Meta-analysis. SN Comprehensive Clinical Medicine, 6(1), 8.
5. Boppre, G. F. (2024). Effects of exercise training on body composition, physical fitness, and cardiovascular risk factors in obese patients after bariatric surgery.
6. Chumakova-Orin, M., Ingram, J. L., Que, L. G., Pagidipati, N., Gordee, A., Kuchibhatla, M., & Seymour, K. A. (2024). Short-term cardiovascular events after bariatric surgery in patients with metabolic syndrome. Surgery for Obesity and Related Diseases, 20(1), 18-28.
7. Elhelw, O., Ragavan, S., Majeed, W., Alkhaffaf, B., Mohammed, N., Senapati, S., . . . Syed, A. A. (2024). The impact of bariatric surgery on liver enzymes in people with obesity: A 5-year observational study. The Surgeon, 22(1), e26-e33.
8. Eymard, F., & Aron-Wisnewsky, J. (2024). Osteoarthritis in patients with obesity: The bariatric surgery impacts on its evolution. Joint Bone Spine, 91(2), 105639.
9. Fiorotti, A. M., Gomes, A. C. A., Bortoli, A. M., Brito, B. B. d., Nunes, K. Z., Haraguchi, F. K., & Bolsoni-Lopes, A. (2024). Dynamic Changes in Adiponectin and Resistin Drive Remission of Cardiometabolic Risk Biomarkers in Individuals with Obesity Following Bariatric Surgery. Pharmaceuticals, 17(2), 215.
10. Ghusn, W., Salame, M., Sayegh, L., Hage, K., Storm, A. C., Dayyeh, B. K. A., & Ghanem, O. M. (2024). The association between microvascular and macrovascular diseases and diabetes remission after bariatric surgery. Surgical Endoscopy, 1-9.
11. Guareschi, A. S., Brandner, G. T., Eichinger, J. K., & Friedman, R. J. (2024). Bariatric surgery is associated with increased mechanical complications and revision following total shoulder arthroplasty. Paper presented at the Seminars in Arthroplasty: JSES.
12. Gunka, B., Mackenzie, D., Hughes, T., Sardo, L., Bayadinova, J., Siegal, D. M., . . . Mithoowani, S. (2024). Pharmacokinetics of direct oral anticoagulants after bariatric surgery: A retrospective cohort study. Thrombosis Research.
13. Hughes, D., Aminian, A., Tu, C., Okushi, Y., Saijo, Y., Wilson, R., . . . Griffin, B. P. (2024). Impact of Bariatric Surgery on Left Ventricular Structure and Function. Journal of the American Heart Association, 13(1), e031505.
14. Jaeger, P., Mortier, M., Alhazmi, A., Gaeb, M., & Senkal, M. (2024). Risk factors for multimodal conservative approach failure before bariatric surgery. BJS open, 8(1), zrad152.
15. Kapoor, N. (2024). The role of bariatric surgery in the management of metabolic syndrome. Metabolic Syndrome, 415-420.
16. Kissmann, A.-K., Paß, F., Ruzicka, H.-M., Dorst, I., Stieger, K. R., Weil, T., . . . Rosenau, F. (2024). Increase of Prominent Probiotics Represents the Major Change in the Gut Microbiota in Female Morbid Obese Patients upon Bariatric Surgery and Are Accompanied with a Switch of Enterotypes.
17. Kokkinos, A., Tsilingiris, D., Simati, S., Stefanakis, K., Angelidi, A. M., Tentolouris, N., . . . Mantzoros, C. S. (2024). Bariatric surgery, through beneficial effects on underlying mechanisms, improves cardiorenal and liver metabolic risk over an average of ten years of observation: A longitudinal and a case-control study. Metabolism, 152, 155773.
18. Łabul, M., Wysocki, M., Małczak, P., Matyja, M., Dowgiałło-Gornowicz, N., Lech, P., . . . Major, P. (2024). The outcomes of Re-Redo bariatric surgery—results from multicenter Polish Revision Obesity Surgery Study (PROSS). Scientific Reports, 14(1), 2699.
19. MacVicar, S., Mocanu, V., Jogiat, U., Verhoeff, K., Dang, J., Birch, D., . . . Switzer, N. (2024). Revisional bariatric surgery for gastroesophageal reflux disease: characterizing patient and procedural factors and 30-day outcomes for a retrospective cohort of 4412 patients. Surgical Endoscopy, 38(1), 75-84.
20. Maghsoodlo, M., Shakibazadeh, E., Mokhtary, Z., Barzin, M., Yaseri, M., & Salimi, Y. (2024). Development and validation of a healthy diet and physical activity tool based on health action process approach among patients undergone bariatric surgery. Journal of Diabetes & Metabolic Disorders, 1-9.
21. Mentias, A., Desai, M. Y., Aminian, A., Patel, K. V., Keshvani, N., Verma, S., . . . Lincoff, A. M. (2024). Trends and Outcomes Associated With Bariatric Surgery and Pharmacotherapies With Weight Loss Effects Among Patients With Heart Failure and Obesity. Circulation: Heart Failure, e010453.
22. Mitra, A. T., Das, B., Sarraf, K. M., Ford-Adams, M., Fehervari, M., & Ashrafian, H. (2024). Bone health following paediatric and adolescent bariatric surgery: a systematic review and meta-analysis. eClinicalMedicine, 69.
23. Nakanishi, H., Mosleh, K. A., Al-Kordi, M., Farsi, S., Chaudhry, S., Marrero, K., . . . Clapp, B. (2024). One anastomosis gastric bypass as revisional surgery following sleeve gastrectomy: a systematic review and meta-analysis. Obesity Surgery, 1-13.
24. Nedelcut, S., Axer, S., & Olbers, T. (2024). The risk and benefit of revisional vs. primary metabolic-bariatric surgery and drug therapy-A narrative review. Metabolism, 155799.
25. Osińska, M., & Walicka, M. (2024). Comparison of pre-and postoperative medication costs in patients who underwent bariatric surgery–a nationwide data analysis. Frontiers in Public Health, 12, 1344040.
26. Paone, E., Di Trani, M., Visani, E., Di Monte, C., Campedelli, V., Silecchia, G., & Lai, C. (2024). Childhood traumatic experiences in people with obesity with and without eating disorders who are seeking bariatric surgery: the role of attachment relationships and family functioning. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 29(1), 1-11.
27. Patel, A., Abu Dayyeh, B. K., Balasubramanian, G., Hinton, A., Krishna, S. G., Brethauer, S., & Hussan, H. (2024). The impact of bariatric surgery on admissions for gastrointestinal complications and conditions associated with obesity: A nationwide study. World Journal of Surgery, 48(1), 175-185.
28. Peña-García, P. E., Fastiggi, V. A., Mank, M. M., Ather, J. L., Garrow, O. J., Anathy, V., . . . Poynter, M. E. (2024). Bariatric surgery decreases the capacity of plasma from obese asthmatic subjects to augment airway epithelial cell proinflammatory cytokine production. American Journal of Physiology-Lung Cellular and Molecular Physiology, 326(1), L71-L82.
29. Perez, A. M., Neag, E., Sridhar, J., & Williams Jr, B. K. (2024). Weight loss, bariatric surgery, and novel antidiabetic drugs effects on diabetic retinopathy: a review. Current Opinion in Ophthalmology, 10.1097.
30. Pletch, A., & Lidor, A. (2024). GERD after Bariatric Surgery: A Review of the Underlying Causes and Recommendations for Management. Current Gastroenterology Reports, 1-8.
31. Ragavan, S., Elhelw, O., Majeed, W., Alkhaffaf, B., Senapati, S., Ammori, B. J., . . . Syed, A. A. (2024). Weight Loss Following Bariatric Surgery in People with or without Metabolic Syndrome: A 5-Year Observational Comparative Study. Journal of Clinical Medicine, 13(1), 256.
32. Rahimi, A. O., Soliman, D., Hsu, C.-H., & Ghaderi, I. (2024). The impact of gender, race, and ethnicity on bariatric surgery outcomes. Surgery for Obesity and Related Diseases.
33. Sanders, A. P., & Vosburg, R. W. (2024). Early Postoperative COVID Infection is Associated with Significantly Increased Risk of Venous Thromboembolism After Metabolic and Bariatric Surgery. Surgery for Obesity and Related Diseases.
34. Schiavon, C. A., Cavalcanti, A. B., Oliveira, J. D., Machado, R. H., Santucci, E. V., Santos, R. N., . . . Halpern, H. (2024). Randomized trial of effect of bariatric surgery on blood pressure after 5 years. Journal of the American College of Cardiology, 83(6), 637-648.
35. Soheilipour, F., & Geram, F. (2024). Lipid profile and the frequency of dyslipidemia in Iranian adolescents with severe obesity who were candidates for bariatric surgery. Obesity Surgery, 1-7.
36. Visaggi, P., Ghisa, M., Barberio, B., Chiu, P. W., Ishihara, R., Kohn, G. P., . . . Hassan, C. (2024). Gastro-esophageal diagnostic workup before bariatric surgery or endoscopic treatment for obesity: position statement of the International Society of Diseases of the Esophagus. Diseases of the Esophagus, doae006.
37. White, G. E., Steers, M. L. N., Bernardi, K., & Kalarchian, M. A. (2024). Food and alcohol disturbance among people who have undergone bariatric surgery. Obesity Science & Practice, 10(1), e738.
38. Wu, Q., Zhao, T., Zhu, C., & Da, M. (2024). Correlation Between Bariatric Surgery and the Risk of Multiple Myeloma: Results from an Evidence-Based Strategy. Obesity Surgery, 1-12.
39. Yassin, S., Sori, N., Gilad, O., Shnell, M., Richer, R., Bar, N., . . . Dayan, D. (2024). Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study. International Journal of Gastrointestinal Intervention, 13(1), 16-22.
40. Ying, L. D., Chao, G. F., Canner, J., Graetz, E., Ghiassi, S., Schwartz, J. S., . . . Gibbs, K. E. (2024). The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients. Obesity Surgery, 34(1), 51-70.
41. Yuan, J. J., Bangalore, R., Darwish, D., Moon, T. S., & Wadhwa, A. (2024). Preoperative Assessment of a Patient Undergoing Bariatric Surgery. Anesthesiology Clinics, 42(1), 169-184.
42. Zhao, S., Hörkkö, S., Savolainen, M. J., Koivukangas, V., Mäkinen, V.-P., Ala-Korpela, M., & Hukkanen, J. (2024). Short-term metabolic changes and their physiological mediators in the Roux-en-Y gastric bypass bariatric surgery. Obesity Surgery, 34(2), 625-634.
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Mar 15, 2024
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Hadayat Ullah, Amna Asif, Malik Mutahir Hassan, Ibrahim Marouf Yasin Al Shyyab, Ermias Girma Tsega, & Mitwa Patel. (2024). COMPARATIVE ANALYSIS OF BARIATRIC SURGERY TECHNIQUES: A SYSTEMATIC REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(3), 789-797. https://doi.org/10.53555/jptcp.v31i3.5028
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Author Biographies
Hadayat Ullah
Designation PGR, Institute MTI ATH Abbottabad, Department of Surgical C Ward, Pakistan,
Amna Asif
Medical officer, Department of Emergency Medicine, Ali Medical Center F-8,
Malik Mutahir Hassan
Doctor / Medical officer, General Physician, Pakistan,
Ibrahim Marouf Yasin Al Shyyab
Medical Intern at EHSUAE, Department of Pediatrics Emirates Health Services at UAE, United Arab Emirates,
Ermias Girma Tsega
MD, SPMMC, Department of Radiology, Ethiopia,
Mitwa Patel
Student, Deaprtment of Medicine, David Tvildiani Medical University, Georgia,
How to Cite
Hadayat Ullah, Amna Asif, Malik Mutahir Hassan, Ibrahim Marouf Yasin Al Shyyab, Ermias Girma Tsega, & Mitwa Patel. (2024). COMPARATIVE ANALYSIS OF BARIATRIC SURGERY TECHNIQUES: A SYSTEMATIC REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(3), 789-797. https://doi.org/10.53555/jptcp.v31i3.5028