There is NO CONVINCING MEDICAL EVIDENCE that dieting "to shrink the liver" does SHIT to improve the outcome of bariatric surgery, but there is a TON of evidence that it discourages people from ever getting it.
http://asmbs.org/resources/preoperative-supervised-weight-loss-requirements
Summary and Recommendations
That last part, in red, is an inconsistent throw-in to placate the fatty-hating surgeons who insist on putting their patients through pointless, unsupported, torturous, needless deprivation and stress.
@southernlady: another glitch - the italics aren't showing up. In the draft form, all the red parts are in italics, but they are not showing up in the post.
http://asmbs.org/resources/preoperative-supervised-weight-loss-requirements
Summary and Recommendations
- There are no Class I studies or evidence-based reports that document the benefits of, or the need for, a 6 to 12 month pre-operative dietary weight loss program before bariatric surgery. The current evidence supporting preoperative weight loss involves physician-mandated weight loss to improve surgical risk or to evaluate patient adherence. Although many believe there may be benefits to acute preoperative weight loss in the weeks before bariatric surgery, the available Class II-IV data regarding acute weight loss prior to bariatric surgery are indeterminate and provide conflicting results leading to no clear consensus at this time. Preoperative weight loss that is recommended by the surgeon and/or the multi-disciplinary bariatric treatment team due to an individual patient’s needs may have value for the purposes of improving surgical risk or evaluating patient adherence , but is supported only by low-level evidence in the literature at the present time.
- One effect of mandated preoperative weight management prior to bariatric surgery is attrition of patients from bariatric surgery programs. This barrier to care is likely related to patient inconvenience, frustration, healthcare costs and lost income due to the requirement for repeated physician visits that are not covered by health insurance.
That last part, in red, is an inconsistent throw-in to placate the fatty-hating surgeons who insist on putting their patients through pointless, unsupported, torturous, needless deprivation and stress.
@southernlady: another glitch - the italics aren't showing up. In the draft form, all the red parts are in italics, but they are not showing up in the post.
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