The most effective surgical procedure for extreme obesity should usually be avoided
Based on five-year follow-up of patients in a randomized clinical trial, researchers have concluded that gastric bypass is the preferred treatment for extreme obesity despite the fact that it is not as effective in reducing body weight as the so-called duodenal switch.The outcomes, which appear in the current issue of JAMA Surgery, show that duodenal switch leads to substantially better weight reduction. But at the same time, the method is associated with a higher risk of complications. "There has not been any consensus about the recommended surgical procedure for patients with BMI