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Invited Commentary
April 2015

Weighing the Risks and Benefits of Bariatric Surgery: Choose Your Own Adventure

Author Affiliations
  • 1Department of Surgery, University of Michigan, Ann Arbor
JAMA Surg. 2015;150(4):362. doi:10.1001/jamasurg.2014.3585

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.