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- W2025829949 abstract "<h2>Abstract</h2> Traditional lifestyle and dietary interventions in severely obese patients seldom lead to maintained weight loss and reduced co-morbidity. Bariatric surgery offers both effective weight loss and maintenance with co-morbidity benefit for this group. Diseases benefiting from such surgery include diabetes, cardiovascular disease and cancer, and there is an associated 29–40% mortality reduction 10 years following a procedure. Economic studies estimate cost neutrality for obesity surgery within 3.5 years by reduced and avoided healthcare costs. Surgery remains a tool to help committed patients gain weight loss and health benefits. It is not an ‘easy option' and requires the support of a multi-disciplinary team including dietitians, physicians, psychologists and nurses as well as surgeons. Procedures include those that restrict the amount of food that can be eaten, or those which cause malabsorption of calories, or combinations of these. Adjustable gastric banding and gastric bypass are the commonest procedures today. As with all surgical interventions, a range of associated complications should be considered in the context of overall outcomes. It is estimated that the mortality of gastric bypass is equivalent to the 1-year mortality of untreated severe obesity. This article endeavours to summarize key aspects of this exciting field of medicine." @default.
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- W2025829949 date "2011-01-01" @default.
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- W2025829949 title "Surgery for obesity" @default.
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- W2025829949 doi "https://doi.org/10.1016/j.mpmed.2010.10.005" @default.
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