The Journal of the American Medical Association published a number of studies on the 16th that compared with traditional lifestyle interventions or drug interventions, bariatric surgery can effectively help obese patients control diabetes and significantly reduce their risk of death.
One of the studies analyzed more than 33,500 obese Israeli patients, nearly 8,500 of whom underwent bariatric surgery between 2005 and 2014. The average age of these patients was 46 years and the height and body mass index (BMI) averaged 40.
BMI is a commonly used measure of the body's fatness and thinness. It is calculated by dividing the body weight (kg) by the square of the height (m), and the value of 30 or more is obesity.
A 10-year follow-up showed a mortality rate of 1.3% in the bariatric surgery group and 2.3% in the traditional treatment group.
Philip Greenland, a co-author of the study and professor at Northwestern University, said in a statement: "We found that the long-term effect of bariatric surgery is to extend the lifespan of obese patients and reduce their mortality by half."
Another small study showed that obese adults with type 2 diabetes continued to improve their blood sugar, cholesterol, and blood pressure control after 5 years of gastric bypass surgery. However, as time goes on, its effect gradually weakens, so it takes longer to follow up to see if its improvement is sustainable.
Weight loss surgery is the operation of the stomach or intestines to achieve the purpose of treating obesity and type 2 diabetes. The most common bariatric procedures include gastric bypass, gastric banding, and sleeve gastrectomy.
Two studies followed up for 5 years have shown that sleeve gastrectomy and gastric bypass surgery can also help to lose weight, reversing diabetes may even slightly improve survival expectations, but for patients with gastroesophageal reflux disease, sleeve gastrectomy It may worsen symptoms such as acid reflux and heartburn.
Currently, weight loss surgery is becoming more and more popular around the world. In 2016, the United States implemented 216,000 cases of weight loss surgery, an increase of 37% over 2011. However, the medical profession also has some controversy about bariatric surgery. Some studies have suggested that bariatric surgery may increase the risk of suicide and other self-harm.
In 2016, the International Diabetes Federation and 45 major diabetes organizations around the world jointly called for bariatric surgery to be a standard option for the treatment of type 2 diabetes, and even some patients with mild obesity type 2 diabetes should consider this procedure. (Xinhua)
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