Research
Energy balance
Bariatric surgery (RYGB, Sleeve Gastrectomy) significantly reduces long-term cardiovascular mortality and incidence of coronary heart disease, stroke, and myocardial infarction compared to non-surgical management.
For severe obesity, bariatric surgery is the most effective long-term treatment for preventing heart attacks, strokes, and death. It works by creating lasting metabolic changes and weight loss.
GoodSupportsHIGH confidence
The Swedish Obese Subjects study showed a significant reduction in the incidence of coronary heart disease, stroke and myocardial infarction 15 years after bariatric surgery... A meta-analysis found significant reductions in all-cause mortality and cardiovascular deaths, with notable decreases in heart failure, myocardial infarction and stroke.
Why this rating
Based on long-term observational studies (Swedish Obese Subjects) and meta-analyses, though RCTs are ethically difficult.
Source
La medicina cardiometabolica nell’obesità
-Aggiornamento Dalla Letteratura et al. · il Diabete · 2024
DOI 10.30682/ildia2304d
narrative_review
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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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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