

Page 55
J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
I
n the past 100 years, there have been myriad medical
discoveries, giant steps, from Louis Pasteur’s germ theory,
to the understanding of gut physiology and metabolic
processes that are essential underpinnings of modern day
medicine. The beginnings of surgery to promote weight loss,
now known as bariatric surgery, date back to the 1880’s
when it was noted that gut resections resulted in weight
loss. It was not long afterward that articles started to appear
documenting nutritional disturbances and the patient’s
likelihood of survival based upon the location and the length
of bowel resected. Numerous articles have been penned
citing the first bariatric surgeries, but to date, there has not
been a comprehensive look back at the origins of the science
as well as the severe metabolic complications that furthered
understanding, prompted innovative medical and surgical
approaches and ultimately led to modern day practice; this
historical look back endeavors to do exactly that. Intestinal
bypass surgeries to treat obesity are here to stay. Some of the
most profound complications of intestinal bypass manifest
in the skeleton and include skeletal demineralization,
hyperoxaluria, nephrolithiasis and fractures. Much has
been done to further elucidate the underlying mechanisms,
identify preventive strategies and implement practice
guidelines but this patient population remains at increased
risk for metabolic bone disease.
e:
WilliaS9@ccf.org100 years of weight loss surgery: Voluntary weight loss, involuntary bone loss
Susan E Williams
Case Western Reserve University, USA
Cleveland Clinic, USA
J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-003