PMID- 29863165 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240314 IS - 2475-0328 (Electronic) IS - 2475-0328 (Linking) VI - 1 IP - 3 DP - 2017 Sep TI - Recent advancements in bariatric/metabolic surgery. PG - 171-179 LID - 10.1002/ags3.12030 [doi] AB - Obesity and type 2 diabetes mellitus (T2DM) are currently two pan-endemic health problems worldwide and are associated with considerable increase in morbidity and mortality. Both diseases are closely related and very difficult to control by current medical treatment, including diet, drug therapy and behavioral modification. Bariatric surgery has proven successful in treating not just obesity but also in significantly decreasing overall obesity-associated morbidities as well as improving quality of life in severely obese patients (body mass index [BMI] >35 kg/m(2)). A rapid increase in bariatric surgery started in the 2000s when the laparoscopic surgical technique was introduced into this field. Many new procedures had been developed and changed the face of modern bariatric surgery. Recently, bariatric surgery played as gastrointestinal metabolic surgery has been proposed as a new treatment modality for obesity-related T2DM for patients with BMI >35 kg/m(2). Strong evidence has demonstrated that bariatric/metabolic surgery is an effective and durable treatment for obese T2DM patients. Bariatric/metabolic surgery is now becoming an important surgical division. The present article examines and discusses recent advancements in bariatric/metabolic surgery and covers four major fields: (i) the rapid increase in numbers and better safety; (ii) new procedures with better outcomes; (iii) from bariatric to metabolic surgery; and (iv) understanding the mechanisms and personalized treatment. FAU - Lee, Wei-Jei AU - Lee WJ AUID- ORCID: 0000-0001-7091-3006 AD - Department of Surgery Min-Sheng General Hospital National Taiwan University Taoyuan Taiwan. FAU - Almalki, Owaid AU - Almalki O AD - Department of Surgery Min-Sheng General Hospital National Taiwan University Taoyuan Taiwan. AD - Department of Surgery College of Medicine Taif University Taif Saudi Arabia. LA - eng PT - Journal Article PT - Review DEP - 20170910 PL - Japan TA - Ann Gastroenterol Surg JT - Annals of gastroenterological surgery JID - 101718062 PMC - PMC5881368 OTO - NOTNLM OT - bariatric surgery OT - metabolic surgery OT - severe obesity OT - type 2 diabetes EDAT- 2018/06/05 06:00 MHDA- 2018/06/05 06:01 PMCR- 2017/09/10 CRDT- 2018/06/05 06:00 PHST- 2017/05/07 00:00 [received] PHST- 2017/06/27 00:00 [accepted] PHST- 2018/06/05 06:00 [entrez] PHST- 2018/06/05 06:00 [pubmed] PHST- 2018/06/05 06:01 [medline] PHST- 2017/09/10 00:00 [pmc-release] AID - AGS312030 [pii] AID - 10.1002/ags3.12030 [doi] PST - epublish SO - Ann Gastroenterol Surg. 2017 Sep 10;1(3):171-179. doi: 10.1002/ags3.12030. eCollection 2017 Sep.