What is it about?
in some studies, bariatric surgery prevented long-term mortality only in obese persons with diabetes, but in many other studies also without diabetes. The differences in results between the studies might be due to several reasons: different surgical procedure, different populations, and different length of follow-up. survival curves diverged immediately for patients with diabetes and at 10 years of follow-up in patients without diabetes. other studies have also shown that the benefit of bariatric surgery was confined to patients aged >44 years, not to younger patients, with or without diabetes.
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Why is it important?
Persons with obesity have a longer life expectancy undergoing bariatric surgery than receiving medical treatment of obesity. the preventive effect of mortality in obese persons with or without diabetes is one of the most important aspects of bariatric surgery, as it represents a hard result. Given the epidemics of obesity and the increasing number of bariatric interventions, more studies should be performed to better prioritize persons with the highest chance to have real advantages from the interventions.
Perspectives
real benefits of bariatric surgery and health economics are not only a problem for politicians, managers and researchers; they represent real problems to deal with in everyday life and practice
antonio pontiroli
Universita degli Studi di Milano
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This page is a summary of: Comment on Lent et al. All-Cause and Specific-Cause Mortality Risk After Roux-en-Y Gastric Bypass in Patients With and Without Diabetes. Diabetes Care 2017;40:1379–1385, Diabetes Care, January 2018, American Diabetes Association,
DOI: 10.2337/dc17-1895.
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