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Bariatric surgery

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4 papers 500 to 1000 followers
By Joe Weatherly FM/Hospitalist-CoFounder of QuestioningMedicine and PCRAP contributor.
https://www.readbyqxmd.com/read/25182102/long-term-follow-up-after-bariatric-surgery-a-systematic-review
#1
REVIEW
Nancy Puzziferri, Thomas B Roshek, Helen G Mayo, Ryan Gallagher, Steven H Belle, Edward H Livingston
IMPORTANCE: Bariatric surgery is an accepted treatment for obesity. Despite extensive literature, few studies report long-term follow-up in cohorts with adequate retention rates. OBJECTIVE: To assess the quality of evidence and treatment effectiveness 2 years after bariatric procedures for weight loss, type 2 diabetes, hypertension, and hyperlipidemia in severely obese adults. EVIDENCE REVIEW: MEDLINE and Cochrane databases were searched from 1946 through May 15, 2014...
September 3, 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/24189773/weight-change-and-health-outcomes-at-3-years-after-bariatric-surgery-among-individuals-with-severe-obesity
#2
MULTICENTER STUDY
Anita P Courcoulas, Nicholas J Christian, Steven H Belle, Paul D Berk, David R Flum, Luis Garcia, Mary Horlick, Melissa A Kalarchian, Wendy C King, James E Mitchell, Emma J Patterson, John R Pender, Alfons Pomp, Walter J Pories, Richard C Thirlby, Susan Z Yanovski, Bruce M Wolfe
IMPORTANCE: Severe obesity (body mass index [BMI] ≥35) is associated with a broad range of health risks. Bariatric surgery induces weight loss and short-term health improvements, but little is known about long-term outcomes of these operations. OBJECTIVE: To report 3-year change in weight and select health parameters after common bariatric surgical procedures. DESIGN AND SETTING: The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium is a multicenter observational cohort study at 10 US hospitals in 6 geographically diverse clinical centers...
December 11, 2013: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/24679060/bariatric-surgery-versus-intensive-medical-therapy-for-diabetes-3-year-outcomes
#3
RANDOMIZED CONTROLLED TRIAL
Philip R Schauer, Deepak L Bhatt, John P Kirwan, Kathy Wolski, Stacy A Brethauer, Sankar D Navaneethan, Ali Aminian, Claire E Pothier, Esther S H Kim, Steven E Nissen, Sangeeta R Kashyap
BACKGROUND: In short-term randomized trials (duration, 1 to 2 years), bariatric surgery has been associated with improvement in type 2 diabetes mellitus. METHODS: We assessed outcomes 3 years after the randomization of 150 obese patients with uncontrolled type 2 diabetes to receive either intensive medical therapy alone or intensive medical therapy plus Roux-en-Y gastric bypass or sleeve gastrectomy. The primary end point was a glycated hemoglobin level of 6.0% or less...
May 22, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/23760764/intensive-medical-weight-loss-or-laparoscopic-adjustable-gastric-banding-in-the-treatment-of-mild-to-moderate-obesity-long-term-follow-up-of-a-prospective-randomised-trial
#4
RANDOMIZED CONTROLLED TRIAL
Paul E O'Brien, Leah Brennan, Cheryl Laurie, Wendy Brown
BACKGROUND: Proven short-term effectiveness of obesity therapy should be re-evaluated in the long-term. The objective of this paper is to determine the long-term (10 years) outcome for patients from a randomised controlled trial (RCT). METHODS: A RCT in 2002 compared laparoscopic adjustable gastric band (LAGB) for obesity with non-surgical therapy. Follow-up has been conducted at 10 years. Eighty patients (BMI 30-35) were randomised to a non-surgical or a surgical program...
September 2013: Obesity Surgery
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