Improve surgical interventions for obesity

The Cochrane Review [1] concluded:

  • Surgery results in greater improvement in weight loss outcomes and weight associated comorbidities compared with non-surgical interventions, regardless of the type of procedures used.
  • When compared with each other, certain procedures resulted in greater weight loss and improvements in comorbidities than others. Outcomes were similar between RYGB and sleeve gastrectomy, and both of these procedures had better outcomes than adjustable gastric banding. For people with very high BMI, biliopancreatic diversion with duodenal switch resulted in greater weight loss than RYGB. Duodenojejunal bypass with sleeve gastrectomy and laparoscopic RYGB had similar outcomes, however this is based on one small trial. Isolated sleeve gastrectomy led to better weight-loss outcomes than adjustable gastric banding after three years follow-up. This was based on one trial only. Weight-related outcomes were similar between laparoscopic gastric imbrication and laparoscopic sleeve gastrectomy in one trial.
  • Across all studies adverse event rates and reoperation rates were generally poorly reported. Most trials followed participants for only one or two years, therefore the long-term effects of surgery remain unclear.

​​Cost-effective interventions to reduce obesity in the UK

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Immediately related elementsHow this works
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Tackling obesity in the UK »Tackling obesity in the UK
Tackling obesity »Tackling obesity
Improve the costs and outcomes of medical interventions »Improve the costs and outcomes of medical interventions
Improve surgical interventions for obesity
Bariatric surgery: gastric banding »Bariatric surgery: gastric banding
Bariatric surgery: gastric bypass »Bariatric surgery: gastric bypass
Set up a specialist group of bariatric nurses »Set up a specialist group of bariatric nurses
Surgical and pharmaceutical solutions don't resolve societal problems »Surgical and pharmaceutical solutions don't resolve societal problems
15. Surgery »15. Surgery
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