Research
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Bariatric and metabolic surgery (BMS) is the most effective intervention for achieving significant and sustained weight loss, with mean excess weight loss (EWL) of 53% for sleeve gastrectomy (SG) and 63% for Roux-en-Y gastric bypass (RYGB) over 5 years.
Practitioners should consider BMS as a primary option for patients needing significant weight loss.
StrongSupportsmedium confidence
A meta-analysis published in Surg Endoscopy reports mean excess weight loss (EWL) of 53% for sleeve gastrectomy (SG) and 63% for Roux-en-Y gastric bypass (RYGB) over 5 years.
Why this rating
Based on a meta-analysis.
Source
Bariatric Surgery in the Era of Obesity Management Medication: A Paradigm Shift or a Complementary Tool?
Randeep Wadhawan · Journal of Bariatric Surgery · 2024
DOI 10.4103/jbs.jbs_17_24
Meta-analysisCited 1×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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