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Surgery before diabetes develops leads to greater weight loss

Patients with obesity may lose more weight if they undergo bariatric surgery before they develop diabetes, according to a study, accepted for presentation at ENDO 2020 (the Endocrine Society's annual meeting that was cancelled due to the COVIUD-19 pandemic), that will be published in a special supplemental section of the Journal of the Endocrine Society.

Both obesity and diabetes are common, with more than one-third of US adults are affected by these two conditions. Among patients that have obesity and diabetes, bariatric surgery can lead to remission of both of these diseases.

Unconscious food cravings may counteract surgery for patients with superobesity

Patients with superobesity (BMI>50) are prone to unconscious food impulses and cravings that may make it challenging for them to maintain weight loss after bariatric surgery, according to Brazilian research that was accepted for presentation at ENDO 2020 (the Endocrine Society's annual meeting that was cancelled due to the COVIUD-19 pandemic) and will be published in a special supplemental section of the Journal of the Endocrine Society.

Significantly fewer heart attacks and strokes for bariatric patients

Bariatric surgery resulted in 60% fewer fatal and non-fatal heart attacks and strokes among 3,701 men and women who had surgery, compared to the same number of patients who did not, during an average of 11 years following the surgery. In addition, patients who had bariatric surgery lost significantly more weight (an average of over 10 kg more) and type 2 diabetes was more likely to improve to the point where the patients no longer required medication to maintain normal blood sugar levels.

Bariatric surgery reduces CRC risk in patients with obesity

Bariatric surgery significantly reduces colorectal cancer (CRC) risk in patients with obesity to the extent that they share the same risk of colorectal cancer as the general population, according to researchers from Université Côte d’Azur, Nice, France. However, for patients with obesity who do not undergo bariatric surgery, the risk is 34% above that of the general population.

Gastric bypass surgery patients may face increased fracture risk

Patients who have bariatric surgery may face an elevated risk of bone fractures, according to a Swedish study investigating the association between different bariatric surgery procedures and fracture risk.

Body contouring significantly improves outcomes for patients

Body contouring procedures following bariatric surgery leads to significant improvements in both the psychological and social aspects of patients’ lives, according to researchers from the Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, and the Department of Plastic Surgery, DSS, im T Marciniaka, Wroclaw, Poland.

Relapse is common for bariatric patients who quit smoking

Smoking prevalence after bariatric surgery is the same as pre-surgery levels within seven years of the procedure, according to research led by the University of Pittsburgh Graduate School of Public Health. This is despite one in seven adult patients smoking cigarettes the year prior to undergoing surgery and nearly all successfully quitting at least a month before their operation. The findings suggest that there may be missed opportunities to engage patients in interventions to improve long-term smoking cessation rates, particularly at regular post-surgery check-ups.

SOS study: surgery effective against early-onset obesity

Bariatric surgery is effective for individuals who develop obesity by the age of 20, as for those who have developed obesity later in life, according to a study from the University of Gothenburg. The results are based on data from the Swedish Obese Subjects (SOS) study. Started in 1987, this study is led and coordinated from Sahlgrenska Academy at the University of Gothenburg.

Number of bariatric procedures increases but access remains low

Although the number of bariatric procedures in the US over the last 20 years has increased, access to surgery remains low despite a growing number of patients that are considered eligible for surgery, according to researchers from the Division of Bariatric and Gastrointestinal Surgery, Virginia Commonwealth University, Richmond, VA.

Surgery improves breathing issues in patients with obesity

Bariatric surgery and weight loss appear to reverse some of the negative effects of obesity on the respiratory system, according to a study led by researchers from Hammersmith Hospital, London, UK. The results suggest that there may be a reversible element of small airway inflammation related to obesity and that reversal of this inflammation correlates with improvement in symptoms.

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