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From JAMA |

Bariatric Surgery in High-Risk Patients:  Is it Time to Reconsider?

Anne O. Lidor, MD, MPH
Arch Surg. 2011;146(11):1233-1234. doi:10.1001/archsurg.2011.275.
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In this era of increasing rates of obesity surgery in the United States, there has been no paucity of studies attesting to the short-term safety of surgery and its longer-term benefits, which include reductions in obesity-related comorbidities, long-term mortality rates, and health care costs. A systematic review of the literature1 has reported very low 30-day mortality rates; however, most of these are derived from patient populations comprised predominantly by younger women with low baseline mortality risk. It has been posited that such excellent results may not be generalizable to more challenging patient populations.

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