Skip to main content
Log in

Diabetes

Treatment of type 2 diabetes mellitus with bariatric surgery

  • News & Views
  • Published:

From Nature Reviews Endocrinology

View current issue Sign up to alerts

Gastrointestinal surgery may ameliorate glycemic control in type 2 diabetes mellitus within days to weeks—an effect that cannot be explained solely by the changes in food intake and body weight following gastric bypass. Should clinicians, therefore, implement bariatric procedures to treat type 2 diabetes mellitus in patients who do not meet current obesity-based criteria for surgery?

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Rubino, F., Kaplan, L. M., Schauer, P. R. & Cummings, D. E. The Diabetes Surgery Summit Consensus Conference: Recommendations for the evaluation and use of gastrointestinal surgery to treat type 2 diabetes mellitus. Ann. Surg. doi:10.1097/sla.0b013e3181be34e7.

    Article  PubMed  Google Scholar 

  2. Buchwald H. et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 292, 1724–1737 (2004).

    Article  CAS  Google Scholar 

  3. Sjöström, L. et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N. Engl. J. Med. 351, 2683–2693 (2004).

    Article  PubMed  Google Scholar 

  4. Dixon, J. B. et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 299, 316–323 (2008).

    CAS  Google Scholar 

  5. Segato, G. et al. Weight loss and changes in use of antidiabetic medication in obese type 2 diabetics after laparoscopic gastric banding. Surg. Obes. Relat. Dis. doi:10.1016/j.soard.2009.09.014.

    Article  PubMed  Google Scholar 

  6. Tice, J. A., Karliner, L., Walsh, J., Petersen, A. J. & Feldman, M. D. Gastric banding or bypass? A systematic review comparing the two most popular bariatric procedures. Am. J. Med. 121, 885–893 (2008).

    Article  Google Scholar 

  7. Chapman, A. E. et al. Laparoscopic adjustable gastric banding in the treatment of obesity: a systematic literature review. Surgery 135, 326–351 (2004).

    Article  PubMed  Google Scholar 

  8. Angrisani, L., Lorenzo, M. & Borrelli, V. Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 5-year results of a prospective randomized trial. Surg. Obes. Relat. Dis. 3, 127–132 (2007).

    Article  PubMed  Google Scholar 

  9. Saliba, J., Wattacheril, J. & Abumrad, N. N. Endocrine and metabolic response to gastric bypass. Curr. Opin. Clin. Nutr. Metab. Care 12, 515–521 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Gumbs, A. A., Modlin, I. M. & Ballantyne, G. H. Changes in insulin resistance following bariatric surgery: role of caloric restriction and weight loss. Obes. Surg. 15, 462–473 (2005).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Ethics declarations

Competing interests

The author declares no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Clifton, P. Treatment of type 2 diabetes mellitus with bariatric surgery. Nat Rev Endocrinol 6, 191–193 (2010). https://doi.org/10.1038/nrendo.2010.23

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrendo.2010.23

  • Springer Nature Limited

This article is cited by

Navigation