Obesity, Metabolism, and Surgery: The Journey into a New Era

Authors

  • John Preto Presidente da Sociedade Portuguesa de Cirurgia de Obesidade e Doenças Metabólicas; Centro de Responsabilidade Integrado Obesidade, ULS São João, Porto, Portugal; Serviço de Cirurgia Geral do Hospital CUF Porto, Porto, Portugal https://orcid.org/0000-0002-8278-865X

DOI:

https://doi.org/10.34635/rpc.1138

Keywords:

Bariatric Surgery, Diabetes Mellitus, Type 2, Gastric Balloon, Gastric Bypass, Obesity/drug therapy, Obesity/surgery

Downloads

Download data is not yet available.

References

World Health Organization. Obesity and overweight. Fact sheet, 2023. [consultado Nov 2025] Disponível em: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

World Obesity Federation. World Obesity Atlas 2024. London: World Obesity Federation; 2024. [consultado Nov 2025] Disponível em: https://www.worldobesityday.org/assets/downloads/WOF_Obesity_Atlas_2024.pdf

Centro de Estudos de Medicina Baseada na Evidência (CEMBE); Evigrade-IQVIA; Sociedade Portuguesa para o Estudo da Obesidade (SPEO). O custo e a carga do excesso de peso e obesidade em Portugal. Lisboa: CEMBE, SPEO; 2021. [consultado Nov 2025] Disponível em: https://www.speo-obesidade.pt/world-obesity-day-posicao-speo-e-spedm/

Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Leccesi L, et al. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med. 2012;366:1577-85. doi: 10.1056/NEJMoa1200111.

Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, et al. Bariatric Surgery versus Intensive Medical Therapy for Diabetes - 5-Year Outcomes. N Engl J Med. 2017;376:641-51. doi: 10.1056/NEJMoa1600869.

Mechanick JI, Apovian C, Brethauer S, Timothy Garvey W, Joffe AM, Kim J, et al. Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures - 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Endocr Pract. 2019;25:1346-59. doi: 10.4158/GL-2019-0406.

Adams TD, Gress RE, Smith SC, Halverson RC, Simper SC, Rosamond WD, et al. Long-term mortality after gastric bypass surgery. N Engl J Med. 2007;357:753-61. doi: 10.1056/NEJMoa066603.

Wilding JP, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021;384:989-1002. doi: 10.1056/NEJMoa2032183.

Garvey WT, Frias JP, Jastreboff AM, le Roux CW, Sattar N, Aizenberg D, et al. Tirzepatide once weekly for the treatment of obesity in people with type 2 diabetes (SURMOUNT-2): a double-blind, randomised, multicentre, placebo-controlled, phase 3 trial. Lancet. 2023;402:613-26. doi: 10.1016/S0140-6736(23)01200-X.

Published

2026-02-08

Most read articles by the same author(s)