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Lancet Series on Bariatric Surgery Poses Question: Why Not Use It More? — Physician’s First Watch

Medical News |
February 3, 2014

Lancet Series on Bariatric Surgery Poses Question: Why Not Use It More?

By Joe Elia

There's a series of review articles on aspects of bariatric surgery in the Lancet Diabetes & Endocrinology that you may find interesting.

In an editorial introducing four reviews and additional commentary, the journal asks: if bariatric surgery is the most effective treatment for obesity, why isn't it being used more often? It's pointed out that a position statement from 1990 largely guides restrictive U.S. policies on bariatric surgery.

The editorial goes on to argue that, given its benefits for weight loss, metabolic status, and quality of life, as well as its safety and effectiveness, bariatric surgery should be "an option to use when appropriate, and not only when all other options have been eliminated."

Reader Comments (4)

Deborah

Gastric and Bariatric surgery are QUITE effective, but also rather expensive. Most insurance companies recognize that overweight and obese patients have an increased risk of serious health conditions such as type 2 diabetes, high blood pressure, heart disease, high cholesterol, and sleep apnea. HOWEVER - not all insurance companies cover this, so it's important to check with them to see if they do. It's a good possibility in many cases...

Deborah
North Carolina Bariatric Surgery Webmaster

AMIN ZEIDAN Physician, Family Medicine/General Practice, Israel

From my experience the procedure has enormously rises around in my country and it have proved success to eliminate the hazards of diabetes in many young to be considered now to be ex-diabetic !

MANU SHRIMALI, MBBS, DRM, MBA

like to know more about sleeve gastrectomy

kristina nadreau dvm retired

the current restrictions on reversible bariatric surgery defy all logic. I believe the restrictions have more to do with the third party payers refusing to pay than with medical judgement. The surgery is freely available in a number of countries south of the USA border, at reasonable prices, for patients who can afford to pay $6000 US dollars.

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