Research
Energy balance
Bariatric surgery is the most effective, sustainable, and generally safe therapy for severe obesity (BMI ≥ 35 kg/m²) when lifestyle and pharmacological treatments have failed.
For severe obesity (BMI ≥ 35) where lifestyle and drug treatments have failed, bariatric surgery is the most effective and sustainable option. It is indicated for BMI > 30 with type 2 diabetes. Risks must be carefully weighed against benefits, and lifelong follow-up is required.
GoodSupportsHIGH confidence
Die Adipositas-Chirurgie ist heute als effektivste, nachhaltigste und in der Regel sichere Therapie der schweren Adipositas allgemein anerkannt.
Why this rating
Based on general consensus and guidelines cited, not a single primary trial.
Source
Neue Behandlungsmöglichkeiten der Adipositas
Ellen Heitlinger et al. · 2024
DOI 10.36000/hbt.2023.11.001
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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