Evidence map›Paper›PMID 41644869›Full record

ReviewObesity surgery2026

Optimizing Safety and Outcomes in Metabolic/Bariatric Surgery: A Conceptual Framework for Staged Minimally Invasive Treatment.

Jaime Ponce, Rami Lutfi, Jane Buchwald, Richard Peterson

Abstract readReview
PubMed Publisher
In one paragraph

Review in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jaime PonceWeight Loss Center of Chattanooga PLLC, Chattanooga, TN, USA. jponcemd@weightlosscenterchattanooga.com.
Rami LutfiChicago Institute of Advanced Surgery, Chicago, IL, USA.
Jane BuchwaldDivision of Scientific Research Writing, Medwrite, Maiden Rock, WI, USA.
Richard PetersonDepartment of Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, USA.

Funding

GT Metabolic Solutions Unrestricted grant
6 · The paper itself

Abstract

One- and two-step metabolic/bariatric surgery (MBS) procedures have become much safer; yet, some cases may still require revisional surgery. Conventional noninvasive medical management is significantly less effective and durable than MBS, and also, not risk free. The chronic relapsing nature of severe obesity and its comorbid diseases suggests the value of a staged minimally invasive (SMI) treatment approach that anticipates the necessity of long-term obesity management. SMI strategies consider briefer stepwise surgical and medical treatments that can be deployed serially and/or concomitantly. By modeling obesity management on principles similar to those of staged cancer or heart failure treatment, the SMI approach offers patients safe, flexible pathways wherein each treatment stage delivers meaningful efficacy and, if needed, a clear roadmap to the next best therapeutic option. This perspective article proposes a conceptual framework for consideration and research validation.

Indexed as

Bariatric SurgeryMinimally Invasive Surgical ProceduresObesity, MorbidHumansLaparoscopyTreatment OutcomeConventional medical therapyDIBDuodeno-ileal anastomosisMagnetic compression anastomosisMagnetic DIBMBSMCAMetabolic/bariatric surgerySADISGSingle-anastomosis duodeno-ileostomySleeve gastrectomy

Identifiers

PMID41644869

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.