From Chronic Management to Remission: Metabolic-Centered Care in Obesity & NCD

Authors

• Dilendra Weerasinghe, Rochester Regional HealthFollow

Document Type

Presentation

Department

Bariatrics

Abstract

From Chronic Management to Remission: Metabolic-Centered Care in Obesity & NCD. Dr. Dilendra Weerasinghe, MD, FACS, FASMBS, Bariatric Surgery

Objectives:

• Recognize obesity and noncommunicable diseases (NCDs) as progressive physiological system disorders--not lifestyle failures--requiring structured clinical intrevention
• Explain the pathophysiological link between insulin resistance, cardiometabolic disease, and end-organ complications including heart failure, nephropathy, and atrial fibrillation
• Interpret landmark outcomes data demonstrating that metabolic surgery reduces all-cause mortality, cardiovascular events, and renal disease by up to 62% over 8 years compared to nonsurgical management
• Differentiate between the four primary metabolic  surgical procedures--Sleeve Gastrectomy, Roux-en-=Y Gastric Bypass, SADI-S, and Duodenal Switch--based on mechanism, complexity, and expected outcomes
• Describe the components of a Metabolic-Centered Care Model, including integrated care teams, CKM coordination, and shared decision-making, as a blueprint for institutional adoption
• Advocate within their clinical environment for metabolic-centered care as the new standard of practice for treating obesity and NCD--moving from chronic management to remission

Publication Date

7-8-2026

Recommended Citation

Weerasinghe, D. (2026). From Chronic Management to Remission: Metabolic-Centered Care in Obesity & NCD. Retrieved from https://scholar.rochesterregional.org/grandrounds_unity/105