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Bariatric surgery offers patients an explicit choice, a tradeoff between risks and benefits. Making the right choice is a complex balance between the risks of surgery (eg, short-term and long-term complications) and the benefits of weight loss (eg, resolution of comorbid diseases and increased longevity). When compared with other bariatric procedures, biliopancreatic diversion with duodenal switch offers maximal weight loss, yet it continues to be the least common operation performed.1 The Risstad et al2 study reminds us why.
Varban OA, Dimick JB. Weighing the Risks and Benefits of Bariatric SurgeryChoose Your Own Adventure. JAMA Surg. 2015;150(4):362. doi:10.1001/jamasurg.2014.3585