Bariatric Surgery for Patients With Obesity: The Earlier the Better?
Authors: Christina C. Wee
Journal: Annals of Internal Medicine (2020)

Editorials3 November 2020Bariatric Surgery for Patients With Obesity: The Earlier the Better?Christina C. Wee, MD, MPH, Deputy EditorChristina C. Wee, MD, MPH, Deputy EditorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-5199 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail During the past 4 decades, the prevalence of obesity has risen globally (1, 2). Bariatric or weight loss surgery is one of the only treatments shown to produce substantial and sustainable weight loss. Also known as metabolic surgery, many bariatric procedures improve the adverse metabolic effects of obesity, not only through weight loss but also through neurohormonal changes (3). Long-term observational studies suggest a 50% or greater reduction in mortality associated with bariatric surgery, particularly the Roux-en-Y gastric bypass (RYGB) procedure (4). Given these benefits, guidelines from several professional organizations recommend bariatric surgery as a treatment option for patients with ...References1. Kuehn B. Obesity rates increasing. JAMA. 2018;320:1632. [PMID: 30357306] doi:10.1001/jama.2018.15094 CrossrefMedlineGoogle Scholar2. Zhang X, Zhang M, Zhao Z, et al. Geographic variation in prevalence of adult obesity in China: results from the 2013-2014 National Chronic Disease and Risk Factor Surveillance. Ann Intern Med. 2020;172:291-293. doi:10.7326/M19-0477 LinkGoogle Scholar3. Koliaki C, Liatis S, Dalamaga M, et al. The implication of gut hormones in the regulation of energy homeostasis and their role in the pathophysiology of obesity. Curr Obes Rep. 2020. [PMID: 32647952] doi:10.1007/s13679-020-00396-9 CrossrefMedlineGoogle Scholar4. Cardoso L, Rodrigues D, Gomes L, et al. Short- and long-term mortality after bariatric surgery: a systematic review and meta-analysis. Diabetes Obes Metab. 2017;19:1223-1232. 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Ann Intern Med. 2020;173:694-703. doi:10.7326/M19-3925 LinkGoogle Scholar8. Schiavon CA, Bhatt DL, Ikeoka D, et al. Three-year outcomes of bariatric surgery in patients with obesity and hypertension. A randomized clinical trial. Ann Intern Med. 2020;173:685-93. doi:10.7326/M19-3781 LinkGoogle Scholar9. Davidson LE, Adams TD, Kim J, et al. Association of patient age at gastric bypass surgery with long-term all-cause and cause-specific mortality. JAMA Surg. 2016;151:631-7. [PMID: 26864395] doi:10.1001/jamasurg.2015.5501 CrossrefMedlineGoogle Scholar10. Arterburn D, Wellman R, Emiliano A, et al. PCORnet Bariatric Study Collaborative. Comparative effectiveness and safety of bariatric procedures for weight loss: a PCORnet cohort study. Ann Intern Med. 2018;169:741-750. doi:10.7326/M17-2786 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-5199.Corresponding Author: Christina C. Wee, MD, MPH, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215; e-mail, [email protected]org.This article was published at Annals.org on 18 August 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation Between Bariatric Surgery and All-Cause Mortality: A Population-Based Matched Cohort Study in a Universal Health Care System Aristithes G. Doumouras , Dennis Hong , Yung Lee , Jean-Eric Tarride , J. Michael Paterson , and Mehran Anvari Three-Year Outcomes of Bariatric Surgery in Patients With Obesity and Hypertension Carlos A. Schiavon , Deepak L. Bhatt , Dimas Ikeoka , Eliana V. Santucci , Renato Nakagawa Santos , Lucas P. Damiani , Juliana D. Oliveira , Rachel Helena V. Machado , Helio Halpern , Frederico L.J. Monteiro , Patricia M. Noujaim , Ricardo V. Cohen , Marcio G. de Souza , Celso Amodeo , Luiz A. Bortolotto , Otavio Berwanger , Alexandre B. Cavalcanti , and Luciano F. Drager Annals On Call - Does Bariatric Surgery Decrease Mortality? Robert M. Centor and Christina C. Wee Metrics Cited byCare of the Patient After Metabolic and Bariatric SurgeryCarolyn Bramante, MD, MPH, Eric Wise, MD, Zoobia Chaudhry, MDCurrent status of gastroesophageal reflux disease after sleeve gastrectomy: Still a long way to go 3 November 2020Volume 173, Issue 9Page: 758-759KeywordsBariatric surgeryBlood pressureBody mass indexGastrectomyHazard ratioHypertensionMortalityObesitySurgeryWeight loss ePublished: 18 August 2020 Issue Published: 3 November 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...