4.5 Review

Diabetes remission after bariatric surgery

Journal

WORLD JOURNAL OF DIABETES
Volume 12, Issue 7, Pages 1093-1101

Publisher

BAISHIDENG PUBLISHING GROUP INC
DOI: 10.4239/wjd.v12.i7.1093

Keywords

Bariatric surgery; Diabetes; Remission; Gastric Bypass; Obesity

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Obesity rates have continued to rise, in parallel with increasing rates of type 2 diabetes mellitus. Bariatric surgery provides better T2DM resolution in obese patients, with Biliopancreatic diversion and Roux-en-Y gastric bypass showing higher rates of T2DM resolution compared to other procedures.
Over the last decade, obesity rates have continued to rise in the United States as well as worldwide and are showing no signs of slowing down. This rise is in parallel with the increasing rates of type 2 diabetes mellitus (T2DM). Given the association between obesity and T2DM and their strong correlation with increased morbidity and mortality in addition to healthcare expenditure, it is important to recognize the most effective ways to combat them. Thus, we performed a review of literature that focused on assessing the outcomes of T2DM following bariatric surgery. Available evidence suggests that bariatric surgery provides better T2DM resolution in obese patients when compared to best medical management alone. Additionally, Biliopancreatic diversion with duodenal switch as well as Roux-en-Y gastric bypass have demonstrated higher rates of T2DM resolution when compared with other bariatric procedures.

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