Risk Assessments for Long-Term Bariatric Success

Bariatric surgery is a common type of weight loss surgery that patients get to lose weight. But while many of their reasons are for aesthetic purposes and to feel better about themselves, losing weight also helps their overall health. Obesity is a major problem in the U.S., and causes many advertise health complications. This includes a higher risk for type 2 diabetes, cardiovascular disease like coronary heart disease, peripheral vascular diseases, and joint paint or associated conditions. These long-term effects of obesity are improved by the weight loss success of bariatric surgery, as shown in a recent risk assessment for the procedure.

Details of the Study

This study was conducted by researchers and staff physician Stacy A. Brethauer at Cleveland Clinic. During the study, as they told Endocrine Today, researchers used standard assessment tools for the long-term risks and success rates of bariatric surgery. Dr. Brethauer reported that they used validated risk assessment and risk prediction tools before patients had bariatric surgery, shortly after the procedure and during their long-term follow-up. The results she was presented with showed a decreased risk for microvascular and macrovascular complications.

The patients used in this study were in the morbidly obese category with an average BMI of 48.9 and were an average of 48.3 year old. These patients were not only struggling with obesity, but also had type 2 diabetes. The average years they had diabetes for was 6.4 years for these patients. Each patient had gastric bypass, a type of bariatric surgery, with an average weight loss of 60 percent after six years following the surgery. The diabetes reduction rate in these patients showed about 61 percent of patients with a diabetes remission. They also looked at other reduced health complications, including 61 percent of patients with lower blood pressure and 73 percent of patients with lower cholesterol.

Researchers from this study told Endocrine Today that about half of the gastric bypass patients with diabetes experienced either complete or partial diabetes remission, while another 30 percent of patients saw a major improvement in their diabetes. Not only did it help with the disease of diabetes, but diabetes complications like stroke, nephropathy, kidney disease, myocardian infarction and retinopathy.

Dr. Brethauer believes she and her team got the results they were hoping for. That when measuring the risks of the gastric bypass and other bariatric surgery procedures, patients should also measure the risk of their obesity-related diseases. In the case of diabetes, which is common among obese adults, more than half the patients saw an improvement or remission of their diabetes and will extend their life thanks to the weight loss. Through this study, the long-term risk assessment is just as successful as the weight loss and maintenance of their weight loss.