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Bariatric Surgery Bests Medical Care for Morbidly Obese

JAMA; 2018 Jan 16; Reges, Greenland, et al

Bariatric surgery reduces all-cause mortality in morbidly obese patients, when compared to non-surgical management, according to a retrospective study that included 33,540 patients and >8,000 patients who had surgery.

  • Investigators compared patients who underwent laparoscopic banding, Roux-en-Y gastric bypass, or laparoscopic sleeve gastrectomy to those who received medical management of their weight from a primary care physician, with the help of dietary counselling and behavior medication.
  • At baseline, patients’ body mass index was 40.6 and they were followed for about 4.5 years.
  • There were 2.51 fewer deaths/1,000 patient years among surgical patients, when compared to non-surgical patients.

Citation:

Reges O, Greenland P, Dicker D, et al. Association of bariatric surgery using laparoscopic banding, Roux-en-Y gastric bypass, or laparoscopic sleeve gastrectomy vs usual care obesity management with all-cause mortality. JAMA. 2018;319:279-290. doi:10.1001/jama.2017.20513.