Will New Obesity Drugs Make Bariatric Surgery Obsolete?

Bariatric Surgery News

Will New Obesity Drugs Make Bariatric Surgery Obsolete?
Obesity SurgeryWeight Loss SurgeryObesity
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One expert argues 'yes,' the other, 'no.' Which will prevail?

, Louis J. Aronne, MD, of Weill Cornell Medicine in New York City, made a compelling case that the next generation of obesity medications will make bariatric surgery obsolete, and Francesco Rubino, MD, of King's College London, London, England, made an equally compelling case that they will not.

Looking ahead,"the trend could be to treat obesity before it gets out of hand," he suggested. Treatment might start in people with a body mass index of 27, who would be treated to a target BMI of 25."That's only a 10% or so change, but our goal would be to keep them in the normal range so they never go above that target.

"Bariatric surgery will go down in history as one of the biggest missed opportunities that we, as medical professionals, have seen over the past many years," he said."It has been shown beyond any doubt to reduce all-cause mortality — in other words, it saves lives," and it's also cost effective and improves quality of life. Yet, fewer than 1% of people globally who meet the criteria actually get the surgery.

26th World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders Although drugs are available to treat obesity, none of them are curative, and if they're stopped, the weight comes back, Rubino pointed out."Efficacy of drugs is measured in weeks or months, whereas efficacy of surgery is measured in decades of durability — in the case of, 10-20 years. That's why bariatric surgery will remain an option," he said."It’s not just preventing disease, it's resolving ongoing disease.

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