Life Expectancy after Bariatric Surgery in the Swedish Obese Subjects Study

Association of Bariatric Surgery with Clinical Outcomes of SARS-CoV-2 Infection: a Systematic Review and Meta-analysis in the Initial Phase of COVID-19 Pandemic

“…Risk of cardiovascular disease, chronic kidney disease, fatty liver disease, and a certain type of cancer decreases after surgery. Eventually, bariatric surgery improves the quality of life and is associated with survival benefits in patients with severe obesity [ 9 – 13 ]. Furthermore, it has been shown that surgically induced weight loss can positively affect the immune system, level of cytokines, and inflammatory markers [ 22 , 23 ].…”

“…Risk of cardiovascular disease, chronic kidney disease, fatty liver disease, and a certain type of cancer decreases after surgery. Eventually, bariatric surgery improves the quality of life and is associated with survival benefits in patients with severe obesity [9][10][11][12][13].…”

“…Bariatric and metabolic surgery, by providing substantial and sustained weight loss in most patients, has been shown to reverse the negative mechanical and physiological impacts of obesity on almost all body systems and is associated with improved survival and quality of life in patients with severe obesity [ 9 – 13 ].…”

For obese postmenopausal women, what options may decrease endometrial cancer risk?

“…In a systematic review of 5 additional studies (not including publications 10 or 11) of the impact of bariatric surgery on the risk of developing endometrial cancer, the surgery was associated with a 68% risk reduction (odds ratio [OR], 0.32; 95% CI, 0.16-0.63) compared with matched obese women that did not have surgery. 12 Although there are no randomized prospective studies showing that bariatric surgery reduces the risk of endometrial cancer, the weight of the observation evidence is strong. In addition, bariatric surgery was reported to reduce all-cause mortality in the SOS study.…”

Obesity surgery and COVID-19 pandemic: What is the suitable attitude to adopt?

“…Several arguments may be raised in favour of conserving surgical activity throughout the second wave. Firstly, as is the case with surgical treatment of some cancers, bariatric surgery has been demonstrably effective in prolonging life expectancy [2] , [3] . Secondly, reduction following surgery of some of the comorbidities associated with obesity concomitantly minimises the impact of COVID-19 infection [4] , [5] , especially insofar as obese patients are considered as a vulnerable population [6] .…”