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Weight loss surgery safe and effective for an expanded group of patients
Date:5/1/2013

erol, 59.6 percent of patients who had hypertension, and 85.7 percent of patients who had diabetes. Patients' quality of life also improved. Most side effects were mild to moderate and resolved within one month.

The researchers also found that the one year results were maintained or improved at two years, and that each additional 10 percent weight loss at year two was linked with a decrease in triglycerides by 13.7mg/dL, blood sugar levels by 3.5mg/dL, and systolic blood pressure by 3.3mmHg.

"The results of this study convinced the FDA that early intervention in the continuum of obesity is the right thing to do: treat before people go on to develop serious comorbid conditions of obesity," said Dr. Michaelson. He added that this and similar studies prompted the American Society for Metabolic and Bariatric Surgery to issue a position statement endorsing weight loss surgery for patients with moderate obesity who have failed non- surgical methods of weight loss. "The next step is to get the private insurers and Medicare, who continue to rely on guidelines established in 1991, to review the incontrovertible literature, take down the barriers to the necessary treatment for this disease, and offer the hope of a cure to 27 million Americans," said Dr. Michaelson.

However, in an accompanying editorial, David Arterburn, MD, MPH, of the Group Health Research Institute in Seattle, and Melinda Maggard, MD, MSH, of the University of California Los Angeles, cautioned that the long-term benefits and risks of LAGB in lower weight individuals still need to be determined, and that studies in higher weight individuals show weight regain starting at two years. "There are also concerns that serious adverse events are common; including reports of removal rates as high as 50 percent. As the prevalence of severe comorbidities is less in this patient population, the benefits of preventing comorbidities is not known, which will require larger sample sizes to determi
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Contact: Amy Molnar
sciencenewsroom@wiley.com
Wiley
Source:Eurekalert

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