Read on Twitter
1/ ENOUGH IS ENOUGH!!!
We can and should acknowledge that bariatric (metabolic) surgery is a superior intervention for the treatment of obesity. [thread]
We can and should acknowledge that bariatric (metabolic) surgery is a superior intervention for the treatment of obesity. [thread]
2/ Independent metabolic and CV benefits outside of absolute wt loss...
- 
in ASCVD & mortality at lower wt loss thresholds than non-surgical wt loss: https://jamanetwork.com/journals/jama/fullarticle/2749478?resultClick=3
- normalization of CV risk factors not wholly attributable to wt loss: https://twitter.com/MichelleCardel/status/1354097905993355269?s=20
- in ASCVD & mortality at lower wt loss thresholds than non-surgical wt loss: https://jamanetwork.com/journals/jama/fullarticle/2749478?resultClick=3 - normalization of CV risk factors not wholly attributable to wt loss: https://twitter.com/MichelleCardel/status/1354097905993355269?s=20
3/ More likely to have long-term remission of type 2 diabetes: https://twitter.com/FRubinoMD/status/1352406712003817477?s=20
4/ Better renal outcomes...
- https://care.diabetesjournals.org/content/43/6/1276
- https://pubmed.ncbi.nlm.nih.gov/30054877/
- https://care.diabetesjournals.org/content/43/6/1276
- https://pubmed.ncbi.nlm.nih.gov/30054877/
5/ Better long-term weight loss results:
- https://pubmed.ncbi.nlm.nih.gov/30293134/ https://twitter.com/EASOobesity/status/1178930300136673281?s=20
- https://pubmed.ncbi.nlm.nih.gov/30293134/ https://twitter.com/EASOobesity/status/1178930300136673281?s=20
6/ Decreased risk of death and incident Cancer and ASCVD:
[1] https://pubmed.ncbi.nlm.nih.gov/32805135/
[2] https://www.nejm.org/doi/full/10.1056/NEJMoa2002449#.X4fq49s-Owh.twitter
[1] https://pubmed.ncbi.nlm.nih.gov/32805135/
[2] https://www.nejm.org/doi/full/10.1056/NEJMoa2002449#.X4fq49s-Owh.twitter
7/ And COST-EFFECTIVE... https://twitter.com/MichaelAlbertMD/status/1234577863820447744?s=20
8/ Despite everything I have shown you, people still believe bariatric surgery is less effective than other means of weight loss treatment. https://twitter.com/MichaelAlbertMD/status/1291835809427894272?s=20
9/ And do not get me started on the "safety" of bariatric surgery.
Mortality is consistently less in individuals who pursue surgery vs non-surgical controls: https://jamanetwork-com.mlprox.csmc.edu/journals/jama/fullarticle/2770015
1-yr mortality of laparoscopic bariatric surgery <0.25%
Mortality is consistently less in individuals who pursue surgery vs non-surgical controls: https://jamanetwork-com.mlprox.csmc.edu/journals/jama/fullarticle/2770015
1-yr mortality of laparoscopic bariatric surgery <0.25%
10/ So enough is enough! Our failure to acknowledge and support bariatric surgery as an important and first-line option for patients, particularly those at higher risk of bad health outcomes, is a travesty. Thanks, and please share!
Mortality link for Tweet #9: https://pubmed.ncbi.nlm.nih.gov/32870301/
