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Doctors Craiga, Ramanujana, and McLaughllina's thoughtful assessment of the prevalence of postbariatric hypoglycemia raises 3 important issues: (1) the high late complication rates of bariatric surgery, (2) the unexplained mechanisms of the hypoglycemia, and (3) the need for standardized methods for assessing outcomes.

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Related Experiment Video

Updated: Jun 28, 2026

Sleeve Gastrectomy in Mice using Surgical Clips
05:16

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Published on: November 14, 2020

Bariatric surgery: risks and rewards.

Walter J Pories1

  • 1East Carolina University, Greenville, North Carolina 27834, USA. pories@aol.com

The Journal of Clinical Endocrinology and Metabolism
|December 4, 2008
PubMed
Summary
This summary is machine-generated.

Bariatric surgery offers a safe and effective solution for severe obesity, leading to significant weight loss and remission of related health conditions like type 2 diabetes. It is the recommended treatment for individuals with a body mass index over 35.

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Area of Science:

  • Bariatric Surgery
  • Obesity Medicine
  • Metabolic Surgery

Background:

  • Severe obesity affects over 23 million Americans, with body mass index (BMI) exceeding 35.
  • Obesity is linked to serious comorbidities including diabetes, hypertension, and cardiopulmonary failure.

Purpose of the Study:

  • To examine the effectiveness of bariatric surgery in managing severe obesity and its associated comorbidities.
  • To assess the safety and outcomes of various bariatric surgical procedures.

Main Methods:

  • Review of outcomes for adjustable gastric banding, gastric bypass, and biliopancreatic bypass with duodenal switch.
  • Inclusion of investigational procedures, complication reviews, and patient selection criteria.
  • Analysis of evidence from controlled randomized studies.

Main Results:

  • Bariatric surgery achieves durable weight loss exceeding 100 lb (46 kg).
  • Over 80% of patients experience long-term remission of type 2 diabetes.
  • Surgery leads to significant reductions in comorbidities and all-cause mortality with a 90-day mortality rate of 0.35% in Centers of Excellence.

Conclusions:

  • Bariatric surgery is the preferred treatment for severe obesity.
  • It provides substantial benefits for weight control and comorbid conditions.