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Bariatric Surgery Benefits May Outweigh Risks

Weight Loss Procedure Cuts Heart Risks

Benefits of Weight Loss continued...

The statement points out that bariatric surgery has risks, including death, as well as long-term post-surgical lifestyle implications. It says people who undergo bariatric surgery must make lifelong behavior changes, such as supplement use, and keep in contact with doctors.

“Bariatric procedures are generally safe,” Poirier says. “However, this is not a benign surgery. At the moment, bariatric surgery should be reserved for patients who can undergo surgery safely, have severe obesity, and have failed attempts at medical therapy.”

He says more research on bariatric surgery in adults and youths is needed, especially because the severely obese adolescent population continues to increase with no effective sustainable treatments available.

Mitchell Roslin, chief of obesity surgery at Lenox Hill Hospital in New York, who was not involved in the formulation of the statement, says in a statement that information in the new pronouncement is “essential for all severely obese” people to understand.

“Data has been accumulated that shows that obesity surgery reduces the risk of major cardiac events by approximately 50%,” he says. “Rather than treat the various risk factors, weight loss surgery can treat the diabetes, hyperlipidemia, and hypertension with a single procedure.”

“Yet, we struggle to get approvals,” Roslin says. “If prevention is the goal, there is no better preventive tool for heart disease than a well-done bariatric procedure in a severely obese individual.”

Psychological Evaluations May Be Useful

The statement says the value of psychological evaluations in bariatric cases is uncertain, and there is no existing data to support mandatory psychological evaluation.

However, the authors say psychological evaluations are frequently performed and should assess the behavioral and environmental factors that may contribute to a person’s obesity, as well as the patient’s ability to make dietary and behavioral changes necessary for the surgery to achieve desired results.

The statement is published in Circulation: Journal of the American Heart Association.

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