Matej Pekar

By Matej Pekař, Pavol Holéczy and Marek Soltes

Obesity belongs to the most serious metabolic diseases affecting human health due to its pandemic character and significant impact on the risk of cardiovascular and other obesity-related health complications. The treatment is complex and requires multidisciplinary approach. Currently, bariatric-metabolic surgery (BMS) represents the most effective therapy with long-term effect, leading to significant changes in body composition. BMS procedures not only assure weight loss but also positively affect various metabolic and cardiovascular illnesses. As such, the patient may benefit from improvement of several concomitant diseases after mini-invasive BMS intervention. Standardized BMS procedures most frequently used in the world nowadays include sleeve gastrectomy, Roux-en-Y gastric bypass, one anastomosis gastric bypass, and single anastomosis duodeno-lileal bypass with sleeve. The innovative concept is represented by single anastomosis sleeve ileal bypass. Multidisciplinary assessment helps to select patients suitable for BMS and determine the best type of surgical intervention. Endoscopic procedures may serve as a bridge to surgery for polymorbid high-risk patients. Provided the postoperative regimen is strictly adhered to, the results of BMS are excellent. Sustainable weight loss followed by the improvement of associated obesity-related comorbidities results in a significant increase in the overall quality of life.

Part of the book: Weight Loss