Obesity

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Treatment

Surgery

Two studies report decrease in mortality from bariatric surgery.[1][2] In the Swedish randomized controlled trial, patients with a body mass index of 34 or more for men and 38 or more for women underwent various types of bariatric surgery and were followed for a mean of 11 years. Surgery patients had 5.0% mortality while control patients had 6.3% mortality. This means 75 patients must be treated to avoid one death after 11 years (number needed to treat is 77).[1] In a Utah retrospective cohort study that followed patients for a mean of 7 years after various types of gastric bypass, surgery patients had 0.4% mortality while control patients had 0.6% mortality.[2]

  1. 1.0 1.1 Sjöström L, Narbro K, Sjöström CD, et al (2007). "Effects of bariatric surgery on mortality in Swedish obese subjects". N. Engl. J. Med. 357 (8): 741-52. DOI:10.1056/NEJMoa066254. PMID 17715408. Research Blogging.
  2. 2.0 2.1 Adams TD, Gress RE, Smith SC, et al (2007). "Long-term mortality after gastric bypass surgery". N. Engl. J. Med. 357 (8): 753-61. DOI:10.1056/NEJMoa066603. PMID 17715409. Research Blogging.