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Obese patients lived longer if they had weight loss surgery, study finds In a retrospective study of close to 34,000 Israeli patients with obesity, the 8,385 who got one of three surgical procedures were roughly two times less likely to die over the next four years than were obese patients whose doctors gave them only weight-loss advice and encouragement. It didn't matter whether patients opted for gastric bypass surgery, laparoscopic banding or laparoscopic sleeve gastrectomy. All three procedures were associated with a lower risk of death compared with nonsurgical treatment. The results were published Tuesday in the Journal of the American Medical Assn. For every 1,000 "person-years" lived by the Israeli patients while they were part of the study, the ones who had surgery experienced 2.51 fewer deaths than the ones who didn't. After accounting for such factors as the patient's age, sex and pre-surgical body mass index — along with whether they had diabetes, high blood pressure, cardiovascular disease or other medical issues — the study authors found that the risk of death during the four-year study period was twice as high for patients who avoided surgery than for those who got it. When considering each type of surgery on its own, the researchers found that the risk of death for nonsurgical patients was 2 times higher than for patients who had laparoscopic banding, 2.65 times higher than for patients who had gastric bypass and 1.6 times higher than for patients who had laparoscopic sleeve gastrectomy. The differences among these three bariatric procedures weren't large enough to be considered statistically significant. Two related studies found that sleeve gastrectomy — a form of weight-loss surgery that has surged in recent years — is roughly as effective as gastric bypass, a forerunner that is more complex to perform. In one of those studies, Swiss researchers found that five years after surgery, subjects who got sleeve gastrectomy and those who had the more complicated gastric bypass procedure lost essentially the same percentage of their excess weight — 25% for the former group and 28.6% for the latter.

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