A study shows now what long-term bariatric patients have known: type two diabetes is potentially helped by weight loss surgery, at least for a while, for many diabetics, but not always forever and for everyone. (How did my vague work?)
Importance The prevalence of obesity and outcomes of bariatric surgery are well established. However, analyses of the surgery impact have not been updated and comprehensively investigated since 2003.
Objective To examine the effectiveness and risks of bariatric surgery using up-to-date, comprehensive data and appropriate meta-analytic techniques.
Results A total of 164 studies were included (37 randomized clinical trials and 127 observational studies). Analyses included 161 756 patients with a mean age of 44.56 years and body mass index of 45.62. We conducted random-effects and fixed-effect meta-analyses and meta-regression.
In randomized clinical trials, the mortality rate within 30 days was 0.08% (95% CI, 0.01%-0.24%); the mortality rate after 30 days was 0.31% (95% CI, 0.01%-0.75%). Body mass index loss at 5 years postsurgery was 12 to 17. T
he complication rate was 17% (95% CI, 11%-23%), and the reoperation rate was 7% (95% CI, 3%-12%).
Gastric bypass was more effective in weight loss but associated with more complications.
Adjustable gastric banding had lower mortality and complication rates; yet, the reoperation rate was higher and weight loss was less substantial than gastric bypass.
Sleeve gastrectomy appeared to be more effective in weight loss than adjustable gastric banding and comparable with gastric bypass.
Conclusions and RelevanceBariatric surgery provides substantial and sustained effects on weight loss and ameliorates obesity-attributable comorbidities in the majority of bariatric patients, although risks of complication, reoperation, and death exist. Death rates were lower than those reported in previous meta-analyses.
I quit 'writing my stories' long ago as my husband would call it because I tried to keep my blog totally "on topic."
You see what happened. Yeah. I stopped writing. I stopped writing altogether. It seems that I only have the urge to 'write my stories' when triggered to write a Something That I Have To Write Down For Myself - not for anyone else.
I am not a blogger who blogs for other people. I do not blog for you. I blog for me, or at least I used to and that is why I started writing in the first place. I lost my mojo for the task of writing because it feels like a chore now rather than a hobby and within the space of the niche I write in, it felt crowded and those who wrote alongside me seemed to want me to quit.