Bariatric surgery and fractures

Obesity is escalating at an alarming rate globally and threatens healthcare systems worldwide. Although bariatric surgery has emerged as an effective treatment, and numbers of operations performed worldwide have risen sharply,1 many commentators still question surgical means to treat obesity. Scepticism has been fuelled by some evidence of negative long term effects including increased risks for nephrolithiasis and chronic kidney disease,2 relapse of type 2 diabetes mellitus,3 4 alcohol consumption,5 and suicide.