Research
Energy balance
Perioperative mortality for bariatric surgery averages 0.3% in accredited centers.
Practitioners can reassure patients about the low perioperative mortality risk in accredited facilities.
StrongSupportsmedium confidence
In accredited centers, perioperative mortality averages 0.3%.
Why this rating
Based on data from accredited surgical centers.
Source
Should This Patient Have Weight Loss Surgery?
Gerald W. Smetana et al. · Annals of Internal Medicine · 2017
DOI 10.7326/m17-0698
otherCited 4×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Weight loss (bariatric) surgery is recommended for patients with a BMI of 40 kg/m2 or higher and for those with a BMI of 35 kg/m2 or greater with at least 1 obesity-related comorbidity.Strong
- The amount of excess weight reduction after bariatric surgery varies by procedure, with laparoscopic adjustable gastric banding reducing excess weight by 49% and Roux-en-Y gastric bypass by 76%.Strong
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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