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U.S. NIH’s Obesity Guidelines Part 31: Weight Loss Surgery
Monday, December 20, 2004 10:08 pm Email this article
Weight loss surgery is an option for carefully selected patients with clinically severe obesity (BMI greater than 40 or BMI greater than 35 with comorbid conditions) when less invasive methods of weight loss have failed and the patient is at high risk for obesity-associated morbidity or mortality according to the U.S. NIH's Obesity Guidelines (p. xxiii).
Requires lif-long medical surveillance
Weight loss surgery results in substantial weight loss, however life-long medical surveillance is necessary. (p. xxiii)
60% of patients are able to stop taking drugs
One study found that following weight loss surgery 60 percent of patients were eventually able stop taking medicine for obesity-related conditions. (p. 55)
Vertical-banded gastroplasty is more effective than horizontal-banded gastroplasty
Vertical-banded gastroplasty is more effective than horizontal-banded gastroplasty. (p. 54)
Gastric resection safe for those with 200 pounds to lose
Gastric resection with a modest biliopancreatic diversion without intestinal exclusion resulted in significantly greater weight loss than conventional Rouxen Y gastric bypass. This procedure is safe for those with 200 pounds to lose. (p. 55)
Gastric bypass vs gastroplasty: Average weight loss of 93 pounds vs 67 pounds
Gastric bypass caused an average weight loss of 93 pounds versus 67 pounds for gastroplasty. (p. 55)
Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults : the evidence report / National Heart, Lung, and Blood Institute [Bethesda, Md.] : National Institutes of Health, National Heart, Lung, and Blood Institute, . NIH publication No. 98-4083.
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