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Different impacts of bariatric surgical procedures on dyslipidemia: a registry-based analysis

      As the sleeve gastrectomy continues to gain popularity in the United States as well as globally, a growing body of literature has compared its outcomes to the Roux-en-Y gastric bypass (RYGB) and the laparoscopic adjustable gastric band [
      • Courcoulas A.P.
      • Christian N.J.
      • O’Rourke R.W.
      • et al.
      Preoperative factors and 3-year weight change in the Longitudinal Assessment of Bariatric Surgery (LABS) consortium.
      ]. Most of this work focuses on outcomes such as weight loss and procedure-specific safety profiles, as well as the “co-morbidity trifecta” of hypertension, insulin-resistant diabetes, and obstructive sleep apnea. The latter 2 co-morbidities remain the mainstay of the more than quarter-century-old 1991 National Institutes of Health Consensus Guidelines that most institutions and insurance companies use to determine eligibility for weight-loss surgery [
      National Institutes of Health
      Gastrointestinal Surgery for Severe Obesity.
      ].
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      References

        • Courcoulas A.P.
        • Christian N.J.
        • O’Rourke R.W.
        • et al.
        Preoperative factors and 3-year weight change in the Longitudinal Assessment of Bariatric Surgery (LABS) consortium.
        Surg Obes Relat Dis. 2015; 11: 1109-1118
        • National Institutes of Health
        Gastrointestinal Surgery for Severe Obesity.
        NIH Consensus Statement. 1991; 9: 1-20
        • Schauer P.R.
        • Bhatt D.L.
        • Kirwan J.P.
        • et al.
        Bariatric surgery versus intensive medical therapy for diabetes: 5-year outcomes.
        N Engl J Med. 2017; 376: 641-651

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