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Preoperatively determinable factors predictive of diabetes mellitus remission following Roux-en-Y gastric bypass: a review of the literature

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Abstract

It is well established that weight loss in general and bariatric surgery in particular can improve glycaemic control in diabetics. Current NICE guidelines recommend that those patients with type 2 diabetes mellitus and a BMI of 35 kg/m2 or more should be considered for bariatric surgery in order to optimise their glycaemic control and minimise their risk of long-term complications. The commonest bariatric procedure in the UK is the Roux-en-Y gastric bypass that has been shown to result in long-standing type 2 diabetes resolution in 83 % of patients. Since such surgery carries a small but significant risk of mortality, as well as posing considerable lifestyle implications for the patient, numerous studies have been performed with a view to identifying which patients and which procedures are most likely to result in these desired benefits. This paper summarises the existing literature on this topic.

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Authors and Affiliations

  1. Department of General Surgery, York Hospital, Wigginton Road, York, YO318HE, UK

    ST Adams, M. Salhab, ZI Hussain, GV Miller & SH Leveson

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  1. ST Adams
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  2. M. Salhab
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  3. ZI Hussain
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  4. GV Miller
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  5. SH Leveson
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Correspondence to ST Adams.

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Communicated by Antonio Secchi.

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Adams, S., Salhab, M., Hussain, Z. et al. Preoperatively determinable factors predictive of diabetes mellitus remission following Roux-en-Y gastric bypass: a review of the literature. Acta Diabetol 50, 475–478 (2013). https://doi.org/10.1007/s00592-013-0453-2

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  • DOI: https://doi.org/10.1007/s00592-013-0453-2

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