BOTTOM LINE
Bariatric surgery successfully helps patients lose weight and reverse diabetes, hypertension, and some hyperlipidemias. We still do not know whether it affects all-cause mortality. (LOE=2c)
Q&A
Ten years after bariatric surgery: weight loss sustained, diabetes and hypertension reversed
J Fam Pract. 2005 March;54(3):199-206
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Practice Recommendations from Key Studies
Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 2004; 351:2683–2693.
- CLINICAL QUESTION: How effective is bariatric surgery in the long term?
- STUDY DESIGN: Non-randomized controlled trial
- ALLOCATION: Unconcealed
- SETTING: Population-based
- SYNOPSIS: A recent meta-analysis found that bariatric surgery successfully treats many of the comorbid conditions associated with obesity. However, most of the studies were of less than 2 years’ duration (JAMA 2004; 292:1724–1737).