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      Metabolic/bariatric surgery optimization: a position statement by Arabic association for the study of diabetes and metabolism (AASD)

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          Abstract

          For patients considering bariatric surgery, it is essential to have clear answers to common questions to ensure the success of the procedure. Patients should understand that surgery is not a quick fix but a tool that must be complemented by lifestyle changes, including dietary adjustments and regular physical activity. The procedure carries potential risks that should be weighed against the potential benefits. Health authorities play a critical role in ensuring that bariatric surgery is performed under the highest standards of care. Recommendations are provided to determine who is an appropriate candidate for surgery, what preoperative evaluations are necessary, and how to monitor patients postoperatively to maximize outcomes and minimize risks. Additionally, authorities are responsible for ensuring access to follow-up care, including nutritional support and psychological counseling, which are vital for the long-term success of bariatric surgery.

          Understanding these aspects by both patients and decision-makers is critical before proceeding with bariatric surgery. The following questions guide patients and healthcare professionals in making informed decisions about the procedure and managing the expectations and outcomes associated with bariatric surgery.

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          Most cited references159

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          Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes

          The cardiovascular effect of liraglutide, a glucagon-like peptide 1 analogue, when added to standard care in patients with type 2 diabetes, remains unknown.
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            Once-Weekly Semaglutide in Adults with Overweight or Obesity

            Obesity is a global health challenge with few pharmacologic options. Whether adults with obesity can achieve weight loss with once-weekly semaglutide at a dose of 2.4 mg as an adjunct to lifestyle intervention has not been confirmed.
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              Tirzepatide Once Weekly for the Treatment of Obesity

              Obesity is a chronic disease that results in substantial global morbidity and mortality. The efficacy and safety of tirzepatide, a novel glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist, in people with obesity are not known.
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                Author and article information

                Contributors
                aminroshdy@kasralainy.edu.eg
                emanosamamt@kasralainy.edu.eg
                Journal
                Diabetol Metab Syndr
                Diabetol Metab Syndr
                Diabetology & Metabolic Syndrome
                BioMed Central (London )
                1758-5996
                29 January 2025
                29 January 2025
                2025
                : 17
                : 37
                Affiliations
                [1 ]Faculty of Medicine,Cairo University, Nephrology Department, ( https://ror.org/03q21mh05) Cairo, Egypt
                [2 ]Faculty of Medicine,Cairo University,Internal Medicine Diabetes and Endocrinology Department, ( https://ror.org/03q21mh05) Cairo, Egypt
                [3 ]Faculty of Medicine,Cairo University, Pediatric Diabetes and Endocrinology Department, ( https://ror.org/03q21mh05) Cairo, Egypt
                [4 ]Military Medical Academy, internal medicine Department, ( https://ror.org/04szvwj50) Cairo, Egypt
                Article
                1564
                10.1186/s13098-024-01564-w
                11776182
                39881371
                d717c1f2-cadb-4c55-bb00-dc0c8c785266
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 13 October 2024
                : 20 December 2024
                Funding
                Funded by: Kasr El-Aini Hospital
                Categories
                Review
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2025

                Nutrition & Dietetics
                bariatric surgery,metabolic surgery,outcomes,type 2 diabetes mellitus,weight loss,minimally invasive bariatric surgery,laparoscopic bypass,revisional bariatric surgery,gastric band,gastric bypass,sleeve gastrectomy,operations for obesity,endoscopic approaches,anti-obesity medications

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