Gastric bypass or sleeve gastrectomy? . . . and other stories

Gastric bypass is generally a better option than sleeve gastrectomy, according to a randomised trial in patients with type 2 diabetes and obesity. Evaluated by self-report three years after surgery, the amount of weight lost, likelihood of remission of diabetes, and quality of life were all superior in the gastric bypass group. Postprandial hypoglycaemia was more frequent after gastric bypass than after sleeve gastrectomy, but other adverse effects, such as abdominal pain, indigestion, and diarrhoea, were similar after both procedures (Lancet Diabetes Endocrinol doi:10.1016/S2213-8587(23)00127-4).

Spinal cord infarction is a rare neurological emergency and the diagnosis is often delayed. Among 57 patients seen at …

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