Bariatric Surgery

Bariatric surgery integrates with the GLP-1 era with multiple recent paradigm shifts. The session covers sleeve gastrectomy vs Roux-en-Y outcomes (BYBAND-SLEEVE 5-year, SM-BOSS 10-year), revisional bariatric surgery, adolescent bariatric surgery (Teen-LABS, AAP 2024 guideline, MOSAIC), bariatric surgery in older adults (BARIONCO consortium), the GLP-1 + surgery synergy (SURMOUNT-Bariatric), and long-term metabolic outcomes. Discussion addresses SADI-S as emerging procedure, mini-gastric bypass / OAGB, endoscopic sleeve gastroplasty as non-surgical alternative, BPD-DS, patient-selection in GLP-1 era, and MBSAQIP outcomes registries.