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Metabolic and bariatric surgery: evolving indications

MBS has evolved from a last-resort intervention to an effective, evidence-based therapeutic modality for obesity and its related medical conditions. The contraindications of the past are the indications of the future.

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Editor's Choice

Aspirin in CRC: who to treat, when, and why

The use of aspirin in colorectal cancer should be targeted rather than routine. This algorithm integrates crucial factors such as absolute CRC risk, PI3K/PIK3CA status, and bleeding risk to maximize benefit while reducing harm.

Mitochondria-targeted strategies for acute pancreatitis

Mitochondrial dysfunction is an early and pivotal event in acute pancreatitis. Could mitochondria represent an attractive target for therapeutic intervention and how might mitochondria-directed strategies work?

Vitamin D in gut homeostasis, infection, and immune regulation

This international consensus statement integrates epidemiological, mechanistic, and interventional research findings, emphasizing the clinical relevance of maintaining adequate vitamin D status across a range of systems.

Addition of RFA does not boost survival for locally advanced PC

Radiofrequency ablation does not improve overall survival for patients with locally advanced pancreatic cancer who are undergoing chemotherapy, and is associated with poorer quality of life.

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Keynote webinar | Spotlight on progress in colorectal cancer

CRC remains a major global health burden, but advances in screening, treatment, and lifestyle-based prevention continue to reshape clinical practice. Gain insights into how the latest research can be leveraged to optimize patient care across the CRC continuum.

Prof. Antoni Castells
Prof. Harpreet Wasan
Prof. Edward Giovannucci
Watch now
Video

Case Studies

Histology-guided biologics in active ulcerative colitis?

Successful use of mirikizumab in three patients with active ulcerative colitis was guided by clinical presentation plus high neutrophilic infiltration of the colonic epithelium (Geboes Grade 3.2).

Colonic metastasis from breast cancer

Although colonic metastases from breast cancer are extremely rare, it is important for patients with a history of breast cancer who present with GI symptoms to undergo prompt endoscopic evaluation.

IBD flare or an infectious complication?

A woman taking adalimumab for ileocolic Crohn’s disease presented with symptoms mimicking a flare. CT revealed extensive venous thrombosis, but respiratory symptoms developed and disseminated tuberculosis was diagnosed.

Episode 23: Improving dysphagia outcomes

Clinical recommendations for diagnosis and management

Around 10 to 20% of people will complain of dysphagia during their lifetime but uncertainty remains about optimal diagnostic work-up and management.

Prof. Edoardo Savarino takes us through the highlights of the updated UEG and ESNM dysphagia guidelines and the difference they could make to patient outcomes.

Prof. Edoardo Vincenzo Savarino
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Podcast

Current Reviews

Rational Allergy Practice Guidelines by the Indian Academy of Pediatrics (IAP) and IAP-Allergy and Applied Immunology Chapter

The burden of allergic disorders in Indian children is substantial and rising [ 1 , 2 ] Recent estimates from the Global Asthma Network (GAN) and International Study of Asthma and Allergies in Childhood (ISAAC) Phase 3 reveal that the prevalence of …

Comparative efficacy and safety of nivolumab-based combination therapies (with ipilimumab or binimetinib) in patients with microsatellite-stable and microsatellite-instability-high metastatic colorectal cancer: a systematic review and meta-analysis

Colorectal cancer (CRC) represents a major global health burden, ranking as the third most commonly diagnosed malignancy and the second leading cause of cancer-related mortality worldwide. As per estimates from the Global Cancer Observatory …

Lymphadenectomy Considerations Beyond Standard Gastrectomy

Lymphadenectomy (LND) is a critical component of gastrectomy in curative multimodality treatment for gastric cancer (GC). Although its role in standard gastrectomy is well-established, its utility in non-standard scenarios remains uncertain. This …

Conversion to One-Anastomosis Gastric Bypass versus Roux-en-Y Gastric Bypass for Treatment of Gastroesophageal Reflux Disease after Sleeve Gastrectomy: A Systematic Review and Meta-analysis

Sleeve gastrectomy (SG) is one of the most commonly performed bariatric procedures worldwide, accounting for approximately 60% of all metabolic and bariatric surgeries [ 1 , 2 ]. Its widespread adoption is a result of its perceived procedural …

Episode 9: The gut microbiome and CAR T-cell therapy

How do nutrition, supplements and antibiotics impact patient outcomes?

Recent research suggests that the gut microbiome could be an important modulator of response to CAR T-cell therapy in patients with hematologic cancers.

Prof. Marion Subklewe takes us through the latest evidence, highlighting the impact of antibiotics, nutrition, and dietary supplements, and discusses how to devise interventions to improve patient outcomes.

Prof. Marion Subklewe
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Podcast

CME & eLearning

Video
SPONSORED

Chronic pancreatitis pain: A multidisciplinary approach and practical solutions

1.5 European CME credits (ECMEC®s)

Severe pain is the most common symptom of chronic pancreatitis. In this live webinar, experts shared the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discussed pertinent cases and provided practical suggestions for use within clinical practice.

Sponsor:
  • Viatris

Further Reading

Management of Idiopathic Acute Pancreatitis in Europe: An International Pancreas2000 Survey

Acute pancreatitis (AP) is a common gastrointestinal disorder leading to hospital admissions [ 1 ]. Disease course varies from mild abdominal pain to life-threatening multi-organ failure. To be able to prevent relapse, aetiology and the possible …

Clinical and pathological study of mutL homolog 1-deficient gastric cancer and the search for background gene expression changes

Gastric cancer is the fifth most common cancer worldwide in terms of incidence and the fifth leading cause of death. Therefore, improved treatment modalities are needed [ 1 ]. In addition to age, sex, and race, several dietary and lifestyle risk …

Impact of concomitant cholecystectomy during gastrectomy for gastric cancer on the postoperative quality of life

Transection of the vagus nerve during gastrectomy is known to impair gallbladder contraction, resulting in reduced bile excretion. This leads to prolonged bile stasis within the gallbladder, thereby promoting gallstone formation [ 1 , 2 ]. For …

Related topics

Metabolic and bariatric surgery: evolving indications

MBS has evolved from a last-resort intervention to an effective, evidence-based therapeutic modality for obesity and its related medical conditions. The contraindications of the past are the indications of the future.

Read more

Mitochondria-targeted strategies for acute pancreatitis

Mitochondrial dysfunction is an early and pivotal event in acute pancreatitis. Could mitochondria represent an attractive target for therapeutic intervention and how might mitochondria-directed strategies work?

Read more
Image Credits
Bariatric surgery/© subway84 / Stock.adobe.com, Aspirin dissolving in water/© Victor Moussa / Stock.adobe.com, 3d rendering of mitochondria/© wir0man / Getty Images / iStock, Solidarity/consensus concept image/© Andriy Onufriyenko / moment / Getty Images, 3D illustration of the pancreas/© Rasi Bhadramani / Getty Images / iStock, Colon cancer illustration/© (M) KATERYNA KON / SCIENCE PHOTO LIBRARY / Getty Images, 3D render of a red pause button on yellow background/© spawns / iStock / Getty Images Plus, Enteral nutrition feeding bag hung on an IV pole/© BlindTurtle / Getty Images / iStock, DNA mutation illustration/© Design Cells / Getty Images / iStock, Infant droplet oral vaccination/© Golser / iStock / Getty Images Plus (symbolic image with models), 3D illustration of a section of the intestines affected by Crohn's disease/© Jirapron / stock.adobe.com, Pretreatment findings in a patient with active ulcerative colitis/© 2026, Ichitaro Horiuchi et al, Clin J Gastroenterol (CC BY 4.0), Abdominal CT of breast cancer patient with colonic metastasis/© 2026, Matteo Matteucci et al, Int J Colorectal Dis, Multiple pseudonodular lesions in both lung fields/© 2026, Germán Ramírez-Olivencia et al, Clin J Gastroenterol, Medicine Matters Podcast promo image/© Springer Medizin GmbH, Chronic pancreatitis 3D concept image/© Rasi Bhadramani, Representative endoscopic images of PSC-associated IBD/© 2026, Haruka Okada et al, J Gastroenterol (CC-BY-4.0), Sunrise illustration/© Annandistock / iStock / Getty Images Plus, Healthcare professional talking to a mother and teenage daughter/© monkeybusinessimages / Getty Images / iStock (symbolic image with models), Family of women looking at a photo album/© FG Trade Latin / Getty Images (symbolic image with models), Underwater endocopic submucosal dissection /© 2026, Mia Kamiya et al, Curr Gastroenterol Rep, Assortment of glasses of wine and beer/© MarkWagonerProductions / Getty Images / iStock, Malignant cancer cells/© koto_feja / Getty Images / iStock, Foods to support a healthy digestive system/© fcafotodigital / e+ / Getty Images, Artistic rendering of fecal microbiota transplantation pills/© mbruxelle / Stock.adobe.com, Intestinal microbiota/© (M) Tatiana Shepeleva / stock.adobe.com, Boy talking with doctor/© Inside Creative House / Getty Images / iStock (symbolic image with models), Woman with walking cane on sofa with nurse /© DragonImages / iStock / Getty Images Plus (symbolic image with models), Combined PET and CT imaging of the pancreas in a patient with pancreatic sarcoidosis/© 2026, Nao Ishidoya et al, Clin J Gastroenterol, under exclusive licence to Japanese Society of Gastroenterology, EGD showing complete obstruction of the duodenal lumen/© (M) 2026, Noemi Zorzetti et al, Dig Dis Sci, Woman with abdominal pain lying on sofa/© Liubomyr Vorona / iStock / Getty Images Plus (symbolic image with model), Woman with abdominal or stomach pain at medical appointment/© Chinnapong / Stock.adobe.com (symbolic image with models)