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The Role of Bariatric Surgery in the Treatment of Type 2 Diabetes: Current Evidence and Clinical Guidelines

  • Lipid and Metabolic Effects of Gastrointestinal Surgery (F Rubino, Section Editor)
  • Published:
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Abstract

The incidence of type 2 diabetes (T2D) continues to rise worldwide. The management of T2D is challenging and therefore amenable to multimodality treatment options. Many published observations of obese individuals with T2D that have undergone bariatric surgery consistently demonstrate remarkable improvement and short-term remission of T2D. Recently published randomized trials confirm these findings and demonstrate significantly improved glycemic control following bariatric procedures, especially Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. However, the question of long-term remission remains uncertain. Clinicians may consider the use of bariatric surgery as a treatment option for certain obese patients with T2D who have failed intensive lifestyle intervention and conventional pharmacotherapy.

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Jeffrey I. Mechanick and Michael A. Via declare that they have no conflict of interest.

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  1. Division of Endocrinology and Metabolism, Beth Israel Medical Center, Albert Einstein College of Medicine, 55 East 34th St., New York, NY, 10016, USA

    Michael A. Via

  2. Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, Manhattan, New York City, NY, USA

    Jeffrey I. Mechanick

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This article is part of the Topical Collection on Lipid and Metabolic Effects of Gastrointestinal Surgery

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Via, M.A., Mechanick, J.I. The Role of Bariatric Surgery in the Treatment of Type 2 Diabetes: Current Evidence and Clinical Guidelines. Curr Atheroscler Rep 15, 366 (2013). https://doi.org/10.1007/s11883-013-0366-0

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