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Insidermedicine In Depth - August 16, 2010 - Benefits of Bariatric Surgery

While bariatric surgery is expensive, the long-term benefits for both health and health care costs make it worthwhile for individuals with type 2 diabetes, according to research published in the Archives of Surgery.

Here is some information about bariatric surgery:

• It refers to surgery conducted for the purpose of facilitating weight loss

• The surgery generally works by limiting the intake of food and/or limiting the absorption of food

• While they can be effective, such surgeries can be complex and carry significant risks and should thus be considered a last resort for weight loss

Researchers from the Johns Hopkins Bloomberg School of Public Health used insurance claims data to calculate the costs of bariatric surgery among over 2,000 individuals with type 2 diabetes who underwent the procedure. The investigators also compared medication use and health care costs before and after they underwent bariatric surgery.

During the first two years following bariatric surgery, nearly 85% of the participants eventually no longer needed to use any antidiabetes medications. Bariatric surgery and its related hospitalization, on average, cost nearly $30,000, and there was an initial spike in annual health care costs in the first year following the surgery, compared with before surgery. In the third year following surgery, however, average annual health care costs dropped by over 70%, compared with the annual costs of health care per patient in the year or two before surgery.

We spoke with Dr. Martin Makary, MD, MPH, one of the investigator's of this study, who offered some further insight.

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