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Letters Why the NHS should do more bariatric surgery

Bariatric surgery for obese adolescents to prevent type 2 diabetes

BMJ 2016; 353 doi: (Published 01 June 2016) Cite this as: BMJ 2016;353:i2977
  1. Andrew J Beamish, David Johnston/RCSEng bariatric research fellow1 2
  1. 1Sahlgrenska University Hospital, Gothenburg, Sweden
  2. 2Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK
  1. beamishaj{at}

Welbourn and colleagues draw attention to the inequality of surgical provision between the United Kingdom and comparable nations in Europe and North America,1 and the failure to target subgroups with the greatest potential for individual benefit and cost utility to the healthcare system, such as patients with type 2 diabetes.

The rapid increase in the prevalence of type 2 …

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