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Metabolic Surgery as a Treatment Option for Type 2 Diabetes Mellitus: Surgical View

  • Therapies and New Technologies in the Treatment of Diabetes (M Pietropaolo, Section Editor)
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Abstract

Purpose of Review

Type 2 diabetes mellitus (T2DM) is increasing in prevalence and associated with numerous metabolic complications leading to increased mortality and costs. Metabolic surgery, or surgery to treat T2DM and obesity, is effective at achieving remission from T2DM. This review discusses the most commonly used surgical options including the adjustable gastric band, the Roux-en-Y gastric bypass, the sleeve gastrectomy, and the biliopancreatic diversion with duodenal switch and their ability to treat and prevent T2DM.

Recent Findings

There is an increasing body of literature that justifies the inclusion of metabolic surgery into the treatment algorithm for patients with obesity and T2DM. Metabolic procedures should be performed at centers that offer comprehensive treatment of metabolic disorders and have expertise in gastrointestinal surgery. The incremental improvement in the quality and safety of metabolic surgery has significantly reduced the risk of serious post-operative complications.

Summary

Metabolic surgery is a safe and effective treatment option for obese patients with T2DM.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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  1. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, MS: BCM 390, Houston, TX, 77030, USA

    Eric Rachlin & Carlos Galvani

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Correspondence to Carlos Galvani.

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Eric Rachlin and Carlos Galvani declare that they have no conflict of interest.

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This article is part of the Topical Collection on Therapies and New Technologies in the Treatment of Diabetes

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Rachlin, E., Galvani, C. Metabolic Surgery as a Treatment Option for Type 2 Diabetes Mellitus: Surgical View. Curr Diab Rep 18, 113 (2018). https://doi.org/10.1007/s11892-018-1094-1

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