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- Title
Bariatric Surgery: There Is a Room for Improvement to Reduce Mortality in Patients with Type 2 Diabetes.
- Authors
le Roux, Carel W.; Ottosson, Johan; Näslund, Erik; Cohen, Ricardo V.; Stenberg, Erik; Sundbom, Magnus; Näslund, Ingmar
- Abstract
The new Scandinavian Obesity Surgery Registry (SOReg) report may influence current guidelines. Patients without type 2 diabetes (T2DM) prior to bariatric surgery had lower mortality over 6.3 years compared to those with T2DM. Moreover, patients with T2DM who achieved remission within 1 year after surgery had lower mortality than those who did not remit. Finally, there was no threshold at 10 years, but rather a linear relationship between duration of T2DM and glycemic remission. The SOReg report challenges existing recommendations and clinical practice. A case may also be made for patients with T2DM who did not achieve glycemic remission after 1 year to have a combination approach of surgery with medicines rather than surgery alone. Ultimately, the impact of T2DM duration on glycemic remission again suggest that patients with T2DM should have bariatric surgery earlier.
- Subjects
TYPE 2 diabetes; BARIATRIC surgery; GASTRIC bypass; MORTALITY
- Publication
Obesity Surgery, 2021, Vol 31, Issue 1, p461
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04934-1