Evidence map›Paper›PMID 42747779›Full record

ReviewObesity surgery2026

Ethical Dimensions of Bariatric Surgery: A Narrative Review of Principles, Challenges, and Practice Implications.

Hamid Reza Soltani, Karamollah Toolabi, Seyed Abbas Sadat-Safavi, Khosrow Najjari, Amirhossein Latif

Abstract readReview
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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

5 authors.

Hamid Reza SoltaniDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Islamic Republic of Iran. hrsgmed@yahoo.com.ORCID http://orcid.org/0000-0002-5045-978X
Karamollah ToolabiDepartment of Minimally Invasive and Bariatric Surgery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Seyed Abbas Sadat-SafaviDepartment of Minimally Invasive and Bariatric Surgery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Khosrow NajjariDepartment of Minimally Invasive and Bariatric Surgery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Amirhossein LatifDepartment of Minimally Invasive and Bariatric Surgery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.ORCID http://orcid.org/0000-0002-8248-7662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic and bariatric surgery (MBS) is among the most effective interventions for severe obesity, with contemporary outcomes best reported as percentage total weight loss (%TWL), yet it raises ethical challenges distinct from many other surgical disciplines. This SANRA-guided narrative review synthesizes ethical issues across the adult bariatric patient journey using Beauchamp and Childress' four principles: autonomy, beneficence, non-maleficence, and justice. Key tensions include safeguarding consent validity amid obesity stigma and desperation bias; balancing patient autonomy with assessment of co-occurring psychiatric conditions, including a reported five-year cumulative incidence of new alcohol use disorder symptoms of approximately 21% after Roux-en-Y gastric bypass; addressing long-term nutritional, psychological, and follow-up obligations; adapting communication for collectivist contexts; and engaging the implications of obesity management medications, telemedicine, and artificial intelligence. Ethical bariatric practice requires multimodal consent, individualized multidisciplinary candidacy assessment, equity-oriented access policies, and durable systems for long-term postoperative care.

Indexed as

Bariatric surgeryEthics, medicalHealth equityInformed consentMetabolic surgeryObesityPersonal autonomySocial stigma

Identifiers

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.