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Laparoscopic surgery was better than an intensive non-surgical intervention for weight loss in mild to moderate obesity

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 Q In patients with mild to moderate obesity, is laparoscopic gastric band (LGB) surgery more effective than a non-surgical diet and lifestyle intervention for promoting weight loss?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★★☆ Endocrine ★★★★★★☆ Surgery—gastrointestinal ★★★★★★☆


Embedded ImageDesign:

randomised controlled trial.

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Embedded ImageBlinding:


Embedded ImageFollow up period:

2 years.

Embedded ImageSetting:

a community clinic, clinics in a university department of surgery, and a private community hospital in Australia.

Embedded ImagePatients:

80 patients 20–50 years of age (mean age 41 y, 76% women) who had a body mass index (BMI) 30–35 kg/m2; had obesity related comorbidities (⩾1 of gastro-oesophageal reflux disease, hypertension, dyslipidaemia, diabetes, or obstructive sleep apnoea), psychosocial conditions, or severe physical limitations; and had attempted to lose weight in the past 5 years. Exclusion criteria were contraindications to treatment or bariatric surgery or participation in a physician supervised programme of …

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  • * See glossary.

  • For correspondence: Professor P O’Brien, Monash University Medical School, Melbourne, Victoria, Australia. paul.obrien{at}

  • Source of funding: INAMED Health; Novartis; US Surgical Corp.

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