Metabolic Surgery: Concepts and New Classification  

作　　者：Paulo Reis Rizzo Esselin de Melo Victor Ramos Mussa Dib Carlos Augusto Scussel Madalosso Chetan Parmar Omar Ghanem Miguel Ángel Carbajo Ricardo Zorron Amador García Ruiz de Gordejuela Caio Gustavo Gaspar de Aquino Luiz Alfredo Vieira d’Almeida Luciano Antozzi Rui Ribeiro Halit Eren Taskin Jorge Bravo López Christine Stier Patrick Noel José Sergio Verboonen Sotelo Laurent Abram Layani Ramon Vilallonga Puy Elinton Adami Chaim Helmuth Billy Carlos Eduardo Domene Paula Volpe Nilton Tokio Kawahara Augusto Cláudio de Almeida Tinoco Antelmo Sasso Fin Hiroji Okano Júnior Nicholas Tavares Kruel Giorgio Alfredo Pedroso Baretta Diogo Swain Kfouri Anna Carolina Hoff Fernando Reis Esselin Melo Thonya Cruz Braga Clayton Alencar Moreira Luis Poggi Almino Cardoso Ramos Antonio Torres Paulo Reis Rizzo Esselin de Melo;Victor Ramos Mussa Dib;Carlos Augusto Scussel Madalosso;Chetan Parmar;Omar Ghanem;Miguel Ángel Carbajo;Ricardo Zorron;Amador García Ruiz de Gordejuela;Caio Gustavo Gaspar de Aquino;Luiz Alfredo Vieira d’Almeida;Luciano Antozzi;Rui Ribeiro;Halit Eren Taskin;Jorge Bravo López;Christine Stier;Patrick Noel;José Sergio Verboonen Sotelo;Laurent Abram Layani;Ramon Vilallonga Puy;Elinton Adami Chaim;Helmuth Billy;Carlos Eduardo Domene;Paula Volpe;Nilton Tokio Kawahara;Augusto Cláudio de Almeida Tinoco;Antelmo Sasso Fin;Hiroji Okano Júnior;Nicholas Tavares Kruel;Giorgio Alfredo Pedroso Baretta;Diogo Swain Kfouri;Anna Carolina Hoff;Fernando Reis Esselin Melo;Thonya Cruz Braga;Clayton Alencar Moreira;Luis Poggi;Almino Cardoso Ramos;Antonio Torres(Paulo Reis Institute, Goinia, Brazil;Alfredo Nasser University Center (UNIFAN), Goinia, Brazil;Victor Dib Institute, Manaus, Brazil;Gastrobese Clinic, Passo Fundo, Brazil;Department of Surgery, Whittington Hospital, London, UK;Department of Surgery, Mayo Clinic, Rochester, USA;Center of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain;Department of Bariatric and Metabolic Surgery, CUF Descobertas Hospital, Lisbon, Portugal;Esophagogastric and Bariatric Surgery Unit, Donostia University Hospital, Basque Country University, Donostia-San Sebastian, Spain;Einstein Surgery Program, Hospital Israelita Albert Einstein, So Paulo, Brazil;Department of Bariatric and Metabolic Surgery, Pro-Cardiac Hospital, Rio de Janeiro, Brazil;Department of Surgery Service, Southern Region Italian Hospital, Buenos Aires, Argentina;Lusadas Amadora Hospital, Lisboa, Portugal;Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University Cerrahpasa, Istanbul, Trkiye;Asis Surgery U de Chile, Universidad de Chile, Santiago, Chile;Obesity Center NRW, Sana Hospitals Germany, Huerth, Germany;Private Hospital Bouchard, Elsan, Marseille, France;Obesity Goodbye Center, Tijuana, Baja California, Mexico;HOD Surgical Bariatric Depa

机构地区：[1]Paulo Reis Institute, Goinia, Brazil [2]Alfredo Nasser University Center (UNIFAN), Goinia, Brazil [3]Victor Dib Institute, Manaus, Brazil [4]Gastrobese Clinic, Passo Fundo, Brazil [5]Department of Surgery, Whittington Hospital, London, UK [6]Department of Surgery, Mayo Clinic, Rochester, USA [7]Center of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain [8]Department of Bariatric and Metabolic Surgery, CUF Descobertas Hospital, Lisbon, Portugal [9]Esophagogastric and Bariatric Surgery Unit, Donostia University Hospital, Basque Country University, Donostia-San Sebastian, Spain [10]Einstein Surgery Program, Hospital Israelita Albert Einstein, So Paulo, Brazil [11]Department of Bariatric and Metabolic Surgery, Pro-Cardiac Hospital, Rio de Janeiro, Brazil [12]Department of Surgery Service, Southern Region Italian Hospital, Buenos Aires, Argentina [13]Lusadas Amadora Hospital, Lisboa, Portugal [14]Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University Cerrahpasa, Istanbul, Trkiye [15]Asis Surgery U de Chile, Universidad de Chile, Santiago, Chile [16]Obesity Center NRW, Sana Hospitals Germany, Huerth, Germany [17]Private Hospital Bouchard, Elsan, Marseille, France [18]Obesity Goodbye Center, Tijuana, Baja California, Mexico [19]HOD Surgical Bariatric Department, Al Sharq Hospital, Fujairah, UAE [20]Endocrine-Metabolic and Bariatric Surgery Unit, Vall Hebron Barcelona Hospital Campus, Barcelona, Spain [21]Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil [22]Ventura Advanced Surgical Associates, Ventura, USA [23]Integrated Center for Advanced Medicine (CIMAMED), So Paulo, Brazil [24]Hospital das Clnicas, University of So Paulo Medical School, So Paulo, Brazil [25]Department of General Surgery, Hospital So Jos do Ava, Itaperuna, Brazil [26]Meridional Cariacica Hospital, Cariacica, Brazil [27]Gastrocare Clinic, Braslia, Brazil [28]Dr. Nicholas Kruel Institute (Nkbariatrics), Florianpolis, Brazil [29]Giorgio Baretta

出　　处：《Surgical Science》2025年第2期87-109,共23页外科学(英文)

摘　　要：Bariatric and metabolic surgeries have gained extensive popularity and trust due to their documented efficacy and safety in managing not only obesity but also associated comorbidities such as diabetes mellitus, hypertension, dyslipidemia, sleep apnea, and joint pain. Traditionally, bariatric surgeries have been categorized into hypoabsorptive, restrictive, or hybrid approaches. However, these classifications inadequately reflect the complex anatomical and physiological alterations associated with modern surgical methodologies. This paper explores the evolution of metabolic surgeries, emphasizing the integration of physiological concepts into classic procedures to provide more tailored and effective treatment options for obesity and its comorbidities. Finally, the proposal for a new classification based on current metabolic concepts will facilitate communication among patients, doctors, and healthcare professionals. Additionally, it will enable a more didactic and standardized approach to data collection for conducting studies and publications.Bariatric and metabolic surgeries have gained extensive popularity and trust due to their documented efficacy and safety in managing not only obesity but also associated comorbidities such as diabetes mellitus, hypertension, dyslipidemia, sleep apnea, and joint pain. Traditionally, bariatric surgeries have been categorized into hypoabsorptive, restrictive, or hybrid approaches. However, these classifications inadequately reflect the complex anatomical and physiological alterations associated with modern surgical methodologies. This paper explores the evolution of metabolic surgeries, emphasizing the integration of physiological concepts into classic procedures to provide more tailored and effective treatment options for obesity and its comorbidities. Finally, the proposal for a new classification based on current metabolic concepts will facilitate communication among patients, doctors, and healthcare professionals. Additionally, it will enable a more didactic and standardized approach to data collection for conducting studies and publications.

关 键 词：Metabolic Surgery Bariatric Surgery OBESITY Physiological Concepts Gastrointestinal Procedures Transit Bipartition Long Common Channel Metabolically Functional Stomach Wide Anastomosis 

分 类 号：R58[医药卫生—内分泌]