Energy balance
Metabolic and bariatric surgery (MBS) is an effective means of durable weight loss, with sleeve gastrectomy being the most performed procedure, offering significant long-term weight loss and diabetes remission.
If lifestyle changes and medications aren't enough, consider metabolic and bariatric surgery (MBS). It offers the most durable weight loss, especially sleeve gastrectomy and gastric bypass. It's suitable for those with BMI >35 (or >30 with health issues). You must commit to lifelong monitoring and supplementation to prevent nutrient deficiencies.
Metabolic and bariatric surgery (MBS) is an effective means of durable weight loss... Currently, sleeve gastrectomy (SG) is the most performed MBS... Duodenal switch is the most aggressive MBS and includes a combination of SG and a long segment intestinal bypass. Because of the large length of intestinal bypass, this procedure is highly effective for long-term weight loss and remission of type 2 diabetes
Why this rating
Based on extensive literature cited (references 52-57) and consensus guidelines.
Source
Key messages on obesity care from the 2023 ASPEN Physician Preconference Course: A narrative review
Givi Basishvili et al. · Journal of Parenteral and Enteral Nutrition · 2024
DOI 10.1002/jpen.2632
More from this paper
- Antiobesity medications (AOMs), particularly GLP-1/GIP receptor agonists like semaglutide and tirzepatide, are effective adjuncts to lifestyle modifications for achieving clinically significant weight loss (>5-10% total body weight) in patients with BMI >30 (or >27 with comorbidities).Good
- Sarcopenic obesity, characterized by the combination of obesity and loss of lean muscle mass, is a significant nutrition risk that requires specific monitoring and interventions like enhanced protein intake and weight-bearing exercise.Good
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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