Mixed
Laparoscopic bariatric surgery is superior to medical management for weight loss and metabolic control in patients with BMI ≥ 40 kg/m2 or BMI 35-40 kg/m2 with comorbidities.
If you have a BMI over 40, or over 35 with conditions like diabetes or high blood pressure, surgery is the most effective way to lose weight and fix those health issues compared to diet and medication alone. You need to be healthy enough for surgery.
Laparoscopic bariatric surgery should be considered for patients with BMI ≥ 40 kg/m2 and for patients with BMI ≥ 35–40 kg/m2 with associated comorbidities that are expected to improve with weight loss
Why this rating
Based on 15 RCTs and large cohort studies, but with conceptual heterogeneity in operative interventions.
Source
Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP
Nicola Di Lorenzo et al. · Surgical Endoscopy · 2020
DOI 10.1007/s00464-020-07555-y
More from this paper
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
- Severely protein-deficient diets (2–3% energy) induce lean body mass loss and metabolic imbalance, whereas adequate protein intake (0.66 g/kg/d minimum) is a prerequisite for maintaining muscle, bone, and physiological function.Strong
- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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