Healthy Living

Tuesday, October 7, 2008

Bariatric surgery may prevent cancer

Although I think the issue gets less attention than it deserves, we have long known that obesity is a potent risk factor for cancer. In fact, an American Cancer Society study of nearly 1 million people followed for almost two decades suggests that obesity is a major risk factor for almost every kind of cancer, and for overall cancer mortality.

Now, courtesy of a study out of McGill University reported at the annual meeting of the American Society for Metabolic and Bariatric Surgery, comes evidence that the relationship cuts the other way, too. Lose the weight, and cancer risk declines.

The new study compared over 1,000 people who underwent bariatric surgery to treat their obesity to almost 6,000 comparably overweight people who did not. The cancer rate was 80% lower in the surgery group over a 16-year period.

This is not quite proof that bariatric surgery reduces cancer risk; maybe the healthier people, less prone to cancer in the first place, were more amenable to surgery. But this is far-fetched. A genuine benefit of the surgery is the most likely explanation.

I am not a big fan of relying on surgery to fix a condition we should address at the roots, with societal interventions to make eating well and being active more the norm. But once obesity does develop, it can be both hard to fix, and quite dangerous--increasing risk for diabetes, heart disease, and cancer alike.

Bariatric surgery should be a last resort--but used judiciously, it is a powerful and effective therapy. We can now add cancer prevention to the list of likely benefits.

But if treating obesity reduces cancer risk, so does preventing it. So we can also add a compelling item to the already compelling list of reasons why obesity prevention should be a top societal priority.

Talk back! Have you had weight loss surgery, or do you know someone who has? Tell me what you think about bariatric surgery!


More Ways to Stay Fit and Healthy
Discover 52 Ways to Lose a Pound a Week!

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  • Cammie's Avatar
    Posted by Cammie Tue Jun 24, 2008 8:34am PDT

    It will two years in August since I had my bariatric surgery. I was 260 pounds on the day of and now I vary between 135 and 140. It was a life saver for me. People think of the surgery as a magic wand to weight loss, but it is merely a tool. You still have to think about what you eat and I could very easily stretch my stomach back out and gain all the weight back. They do surgery on your stomach, not your brain. That being said, I would recommend it to anyone who just does not know what to do. I was 28 years old and had arthritis already in my hips. It was hard for me to breathe at night because of the weight on my lungs when I laid down. Not to mention the fact that diabetes, high blood pressure and heart disease were all knocking on my door due to family problems with these. Now, I am healthier than I have ever been in my entire life. Not only do I feel good about myself, but I feel good all around. Surgery should always be a last resort, but I am tired of being looked down upon because I had surgery to help me lose weight. It was still hard work to lose all that weight and I still work hard at it every day to maintain where I am now.

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