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Gastric Bypass Has Quality of Life Benefits

According to research done in the SLIMM-T2D randomized trial, gastric bypass surgery may have additional benefits for patients with diabetes and obesity…. 

The study evaluated two different groups, one group with patients who are diabetic and obese undergoing laparoscopic Roux-en-Y gastric bypass compared to another group of patients undergoing very intense weight management.

Results showed that compared to weight management, gastric bypass surgery has a significant impact on the negative effects of weight on the quality of life of the patient. Within 3 to 12 months, patients with the gastric bypass surgery lost more weight than patients with intensive weight management. 

Cardiovascular benefits were also found and compared between the two groups. In addition to greater weight loss, maintaining weight loss and controlling blood glucose were much more effective in patients with gastric bypass surgery. Researchers said that gastric bypass surgery might be the best option for these patients.

Further evaluations and studies are needed before making any recommendations. The study only evaluated patients for 2 years. For safety purposes, they should be evaluated longer to accurately predict whether the surgery is beneficial to their quality of life.

Practice Pearls:

  • There is a positive relationship in improvement of quality of life and weight loss in diabetic obese patients.
  • Roux-en-Y gastric bypass shows positive results in both cardiovascular benefits and weight loss within 2 years.
  • Study with a longer evaluation of these patients is required to guarantee the benefits from the surgery. 

Ding SA, Simonson DC. RYGB adds CV, quality of life benefits for obesity, type 2 diabetes. Healio Endocrinology. 2014 July 1