Surgical treatments for obesity . . . and other stories
BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.r485 (Published 20 March 2025) Cite this as: BMJ 2025;388:r485
Long-term outcomes of bariatric surgery
Complete 10 year follow-up data were available only for 65% of the 300 adults randomised either to laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass for the treatment of obesity. Even so, it’s fairly clear that Roux-en-Y gastric bypass is the better option for sustained weight reduction and for causing fewer adverse effects. Gastroesophageal reflux was less common after gastric bypass than after sleeve gastrectomy (JAMA Surg doi:10.1001/jamasurg.2024.7052).
Asymptomatic aortic stenosis
Guidelines recommend clinical surveillance rather than early surgery for patients with asymptomatic severe aortic stenosis and a normal left ventricular ejection …
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