Letters Bariatric surgery for obesity

Bariatric surgery: give more weight to bone loss

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g6189 (Published 14 October 2014) Cite this as: BMJ 2014;349:g6189
  1. Michaël R Laurent, specialty registrar1
  1. 1Centre for Metabolic Bone Diseases, University Hospitals Leuven, B-3000 Leuven, Belgium
  1. michael.laurent{at}med.kuleuven.be

In their otherwise exhaustive review on bariatric surgery, Arterburn and Courcoulas fail to mention metabolic bone disorders among its complications.1 This is truly a missed opportunity, and I would like to draw attention to this problem.

It is a common misconception that obesity (which does not usually resolve after bariatric surgery) is protective for the skeleton. Several longitudinal studies show markedly …

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