University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Bariatric Medicine


Dr. John Paul Gonzalvo D.O.


Clinicians often consider patient weight loss as the main motivation for writing a referral for bariatric surgery. Other than a decrease in a number on the scale, this surgical intervention has the ability to create changes in a patient’s metabolism. When favorable metabolic changes occur, comorbidities such as diabetes mellitus type two (DMT2), hypertension (HTN), hyperlipidemia, obstructive sleep apnea (OSA), depression, joint disease, migraines and respiratory health are directly mitigated. It is suggested that bariatric surgical interventions create gut biome diversity and that this factor plays an influential role in creating metabolic change. The metabolic changes that arise from surgical modification are complex. This article aims to improve understanding, explore complex physiology and educate clinicians that although weight is relevant to patient health the resolution of disease should be the therapeutic goal.


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