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Ten years after bariatric surgery: weight loss sustained, diabetes and hypertension reversed

The Journal of Family Practice. 2005 March;54(3):199-206
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  • 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).

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)