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Jones. Mini-invasive Surg 2021;5:4 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2020.116

Editorial Open Access

Metabolic and bariatric surgery

Daniel B. Jones

Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.

Correspondence to: Prof. Daniel B. Jones, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215,
USA. E-mail: djones1@bidmc.harvard.edu

How to cite this article: Jones DB. Metabolic and bariatric surgery. Mini-invasive Surg 2021;5:4.
http://dx.doi.org/10.20517/2574-1225.2020.116

Received: 15 Dec 2020 Accepted: 16 Dec 2020 Published: 7 Jan 2021
Academic Editor: Giulio Belli Copy Editor: Miao Zhang Production Editor: Jing Yu

Obesity is a disease causing multiple comorbid health conditions such as type 2 diabetes, hypertension,
obstructive sleep apnea, back pain, and cancers. Weight loss improves overall health and quality of life.
When diets, exercise, and behavioral changes are not enough, weight loss operations can help patients lose
100 pounds or more, reverse associated health problems, and increase longevity.

In the past year, COVID-19 has affected over 1.6 million people worldwide, with over 300,000 deaths
in the Unites States alone. During this time, we have learned a lot about inflammation and response to
COVID-19. We have known that obesity creates a chronic inflammatory state and that it contributes to
many other diseases such as diabetes. However, during the COVID-19 pandemic, we have witnessed that
patients who are overweight and with weight-related illness are at higher risk of death after exposure to the
coronavirus. With a vaccine released this week, we are all hopeful for immunity. We are also more mindful
than before about the effects of obesity on health and wellbeing.

The Mini-invasive Surgery Journal sought to have a Special Issue for “Metabolic and Bariatric Surgery.”
This is a bold initiative with so many other outlets to publish manuscripts on the topic. When the Journal
asked me to co-edit the volume, I was intrigued. We recruited authors from around the world to share their
observations, science, and reviews of the literature. I am very grateful to those authors who managed to
contribute despite the pandemic considering the added demands on providers.

[1]
In this volume, Dr. Rami Lutfi summarized the current status of metabolic surgery. He emphasized
that bariatric operations are treating diabetes. He reviewed the STAMPEDE trial, 2nd Diabetes Surgery
Summit, and guidelines from the American Diabetes Association. He also reviewed the choice of different
operations.

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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