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Obesity is a growing public health problem and is associated with significant morbidity and mortality risk for affected individuals. Bariatric surgery is recommended for severely obese patients when conservative treatments fail. Using a nationwide dataset of short-term disability (STD) cases linked to detailed medical claims data, we evaluated trends in bariatric surgery procedures through time and compared complication rates, disability duration, and medical costs between four common procedures. The prevalence of RYGB and lap band procedures declined, while the prevalence of sleeve gastrectomy procedures increased over this timeframe. By surgery, the complication rates, disability durations, and medical costs ranked as follows (lowest to highest): lap-band, sleeve gastrectomy, RYGB, and duodenal switch. The sleeve gastrectomy procedure resulted in fewer complications, faster healing times, and reduced medical costs.

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