Why the study?
The study aimed to show whether bariatric surgery is more effective than medical therapy in Asian obese patients.
Does bariatric surgery improve weight reduction and quality of life compared to medical therapy in Korean obese patients?
Does bariatric surgery improve weight reduction and quality of life compared to medical therapy in Korean obese patients?
Bariatric surgery is safe and more effective than medical therapy for weight reduction, remission of comorbidities, and quality of life improvement in Korean obese patients.
Supports bariatric surgery over medical therapy in Asian obese patients; leaves open need for randomized confirmation before practice change.
PURPOSE: The aim of this study was to show that bariatric surgery (BS) is more effective than medical therapy (MT) in Asian obese patients. METHODS: with obesity-related comorbidities were assigned to undergo BS, such as laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass, or MT. Patients who underwent BS were evaluated 4, 12, 24, and 48 weeks after surgery, whereas patients who received MT were monitored at a hospital every 6 weeks for 1 year. At each visit, weight, waist and hip circumference, and blood pressure were measured, and patients underwent physical examination and laboratory testing. Health-related quality of life (HQOL) was investigated using Euro QOL-5 Dimension, Impact of Weight on Quality of Life questionnaire-Lite and Obesity-related Problems scale. RESULTS: 22.0%, P < 0.001). HQOL was better in the BS than in the MT group at 48 weeks. CONCLUSION: BS was safe and effective in Korean obese patients, with greater weight reduction, remission of comorbidities, and quality of life improvement than MT.
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Park et al. (2021) studied this question.
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