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Long-Term Outcomes of Bariatric Surgery

Dec 12, 2020
Editor: David L. Joffe, BSPharm, CDE, FACA

Author: Antonio Bess, Pharm D Candidate, Florida Agricultural & Mechanical University School of Pharmacy

Bariatric surgery has been proven to be an effective treatment of type 2 diabetes for people with obesity, but long-term outcomes have yet to be determined. 

Surgery to reduce weight has increased in popularity over the past two decades. Previous studies have shown bariatric surgery to be successful in weight loss and remission of diabetes. Treatment of type 2 diabetes can consist of oral and injectable medicines, which vary in side effects and overall efficacy. These conventional treatments only partially achieve adequate glycemic control and a reduction in cardiovascular risk. For people with obesity, managing diabetes can be challenging, and the fact that some drugs can cause weight gain does not help. Diet and exercise are mainstays in the treatment of diabetes. Bariatric surgery, which consists of (Roux-en-Y gastric bypass [RYGB] or laparoscopic adjustable gastric banding [LAGB]), was initially intended only for weight loss but showed significant improvements in type 2 diabetes and reductions in cardiovascular disease and mortality. Questions remain about the long-term side effects and outcomes of bariatric surgery....


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