Another great article from the Advisory board regarding common questions/concerns individuals have prior to undergoing weight loss surgery. I have put the highlights below, but would welcome anyone interested in bariatric surgery to visit us at an upcoming FREE seminar to ask even more questions. Dates can be found at ACallToChange.org.
Addressing earlier concerns about the safety of bariatric surgery, a study published yesterday in New England Journal of Medicine (NEJM) finds that the overall risk of death and other adverse outcomes among patients who have the procedures is low, although the risks vary considerably depending on patient characteristics.
For the study, a researcher from the University of Washington in Seattle and colleagues conducted a prospective multicenter observational study involving 4,776 first-time bariatric surgery patients who had procedures at 10 U.S. hospitals.
...The researchers found that among the patients who had gastric-bypass or gastric-banding procedures, the 30-day mortality rate was 0.3% and a composite outcome consisting of mortality, deep vein thrombosis, venous thromboembolism, reintervention, or failure to be discharged within 30 days after surgery occurred in 4.1% of patients. None of the patients who underwent gastric banding procedures died, while 0.2% of patients who had laparoscopic Roux-en-Y gastric bypass died and 2.1% of the patients who had open Roux-en-Y died.
...Commenting on the findings, the researchers suggest that providers discussing bariatric surgery with patients should examine the short-term risks of the procedure “in the context of the long-term health effects of surgically induced weight loss on coexisting health conditions, the long-term risks of the bariatric surgery itself, the competing risk of death from extreme obesity, and the relative benefits of the rate and durability of weight loss.” Meanwhile, in an accompanying editorial, a surgeon from Harvard Medical School notes that the rates of mortality and adverse outcomes seen in the study are “similar to those seen in other major operations,” adding that while the nation should strive to better treat obesity without the use of surgical interventions, “until we get to that point, the weight of the evidence indicates that bariatric surgery is safe, effective, and affordable”
Addressing earlier concerns about the safety of bariatric surgery, a study published yesterday in New England Journal of Medicine (NEJM) finds that the overall risk of death and other adverse outcomes among patients who have the procedures is low, although the risks vary considerably depending on patient characteristics.
For the study, a researcher from the University of Washington in Seattle and colleagues conducted a prospective multicenter observational study involving 4,776 first-time bariatric surgery patients who had procedures at 10 U.S. hospitals.
...The researchers found that among the patients who had gastric-bypass or gastric-banding procedures, the 30-day mortality rate was 0.3% and a composite outcome consisting of mortality, deep vein thrombosis, venous thromboembolism, reintervention, or failure to be discharged within 30 days after surgery occurred in 4.1% of patients. None of the patients who underwent gastric banding procedures died, while 0.2% of patients who had laparoscopic Roux-en-Y gastric bypass died and 2.1% of the patients who had open Roux-en-Y died.
...Commenting on the findings, the researchers suggest that providers discussing bariatric surgery with patients should examine the short-term risks of the procedure “in the context of the long-term health effects of surgically induced weight loss on coexisting health conditions, the long-term risks of the bariatric surgery itself, the competing risk of death from extreme obesity, and the relative benefits of the rate and durability of weight loss.” Meanwhile, in an accompanying editorial, a surgeon from Harvard Medical School notes that the rates of mortality and adverse outcomes seen in the study are “similar to those seen in other major operations,” adding that while the nation should strive to better treat obesity without the use of surgical interventions, “until we get to that point, the weight of the evidence indicates that bariatric surgery is safe, effective, and affordable”
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