Our Summary

This study looks at research about weight-loss surgery, also known as bariatric surgery, particularly in Asia where obesity is a growing problem. The researchers analyzed nearly 4000 publications spanning over four decades, and found that research in this area has been growing rapidly, especially in China. However, the COVID-19 pandemic has slowed this growth.

The study also found that while China has made the most contributions to this field of research, Western Asia has produced more research when you consider the size of their population. Researchers in the region are working together more, likely due to being geographically close and having similar economies.

The researchers also noticed that there’s been a shift in focus towards certain topics such as the “laparoscopic sleeve gastrectomy” (a type of weight-loss surgery) and “non-alcoholic fatty liver disease” (a condition often associated with obesity). The study suggests that researchers should aim to publish their work in high-profile journals to increase its visibility and impact.

FAQs

  1. What has been the trend in research output related to bariatric metabolic surgery in Asia, specifically China, from 1980 to 2022?
  2. Which region led in contributions to obesity surgery research when adjusted for population?
  3. What are the emerging topics in bariatric metabolic surgery research according to the keyword analysis?

Doctor’s Tip

A doctor might tell a patient considering obesity surgery to thoroughly research and understand the different types of procedures available, such as laparoscopic sleeve gastrectomy, and to consider the potential risks and benefits before making a decision. It is also important for patients to follow a healthy diet and exercise regimen before and after surgery to ensure successful long-term weight loss and overall health improvement. Regular follow-up appointments with a healthcare provider are crucial for monitoring progress and addressing any concerns.

Suitable For

Patients who are typically recommended for obesity surgery include those with a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, sleep apnea, or joint problems. These patients have often tried other weight loss methods without success and have a strong commitment to making lifestyle changes post-surgery. Additionally, candidates for obesity surgery should be in good overall health and have a clear understanding of the risks and benefits of the procedure.

Timeline

Before obesity surgery:

  • Patient consults with a healthcare provider to discuss weight loss options and determine if surgery is appropriate.
  • Patient undergoes a series of medical evaluations and tests to assess their overall health and determine the most suitable surgical procedure.
  • Patient attends pre-surgery counseling sessions to understand the risks and benefits of the surgery, as well as the lifestyle changes required post-surgery.
  • Patient follows a pre-operative diet and exercise plan to prepare their body for the surgery.

After obesity surgery:

  • Patient undergoes the surgical procedure, which can vary depending on the type of surgery (e.g., gastric bypass, sleeve gastrectomy).
  • Patient stays in the hospital for a few days for monitoring and recovery.
  • Patient follows a strict post-operative diet and exercise regimen to promote weight loss and avoid complications.
  • Patient attends regular follow-up appointments with their healthcare provider to monitor their progress and make any necessary adjustments to their treatment plan.
  • Patient experiences significant weight loss and improvements in overall health and quality of life over time.

What to Ask Your Doctor

  1. What are the different types of bariatric surgery options available and which one is most suitable for me?
  2. What are the potential risks and complications associated with obesity surgery?
  3. How much weight can I expect to lose after the surgery?
  4. Will I need to make any changes to my diet and lifestyle after the surgery?
  5. How long is the recovery period and when can I expect to resume normal activities?
  6. What kind of follow-up care will be needed after the surgery?
  7. Are there any long-term effects or risks associated with bariatric surgery?
  8. Will I need to take any supplements or medications after the surgery?
  9. What is the success rate of this surgery in terms of weight loss and improvement in health conditions?
  10. Are there any specific qualifications or criteria that I need to meet before being considered for obesity surgery?

Reference

Authors: Liu Z, Wang H, Fan D, Xu T, Wan F, Xia Q. Journal: Obes Surg. 2024 Jun;34(6):2139-2153. doi: 10.1007/s11695-024-07138-z. Epub 2024 Mar 7. PMID: 38448708