New trends in current bariatric-metabolic surgery and their contribution to the treatment of (pre)diabetes

Authors: Pavol Holéczy 1,2;  Matej Pekař 3,4;  Marek Bužga 5;  Eva Evinová 6
Authors‘ workplace: Katedra chirurgických oborů, LF OU, Ostrava 1;  Chirurgické oddělení Nemocnice AGEL Ostrava-Vítkovice a. s., Ostrava-Vítkovice 2;  Fyziologický ústav LF MU, Brno 3;  Chirurgické oddělení Nemocnice AGEL Třinec-Podlesí a. s., Třinec 4;  Katedra fyziologie a patofyziologie LF OU, Ostrava 5;  Gastroenterologické oddělení Nemocnice AGEL Ostrava-Vítkovice a. s., Ostrava-Vítkovice 6
Published in: Forum Diab 2022; 11(3): 143-150
Category: Review Article


Obesity is currently an infamous phenomenon in both the adult and pediatric populations. It has been confirmed that it is connected with many comorbidities that are associated with it in different ways. Conservative treatment of obesity is the domain of obesitologists, diabetologists, nutritional therapists and psychologists. A significant part of conservative treatment also belongs to specialists in movement activity. Surgical treatment is reserved for patients with severe obesity and focuses (not only) on significant weight loss, but also, or especially, on improving comorbidities. Standard surgical procedures are defined, which form a substantial part of the procedures performed. However, innovative (study) operations and endoscopic procedures, of which there are many, are also being put into practice. However, in the long run, they do not achieve the effectiveness and durability of standard operations, yet. The aim of this publication is to introduce current standard surgical procedures and to report on some newer surgical and endoscopic ones. Last, but not least, to familiarize the reader with the latest indication criteria for surgical intervention.


comorbidities – bariatric/metabolic surgery – severe obesity – endoscopic bariatrics


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Diabetology Endocrinology Internal medicine
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