[Metabolic/bariatric surgery is effective : What is the evidence regarding hard endpoints and long-term outcomes?].

Journal: Chirurgie (Heidelberg, Germany)

Metabolic/bariatric surgery is recognized as the safest and most effective treatment for obesity and related conditions.

It offers sustained weight loss and improves metabolic disorders such as type 2 diabetes. Additionally, it lowers the risk of obesity-associated cancers and enhances life expectancy.

Common procedures include:

  • Sleeve gastrectomy
  • Roux-en-Y gastric bypass
  • One anastomosis gastric bypass

Newer techniques like SADI-S show promise in patients with high BMI.

Surgical choices are personalized within an interdisciplinary framework. Lifelong follow-up is essential for long-term success.

Evidence also supports significant improvements in quality of life and reductions in overall mortality after these surgeries.

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