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

Eric Rachlin, Carlos A Galvani

Research output: Contribution to journalReview article

2 Scopus citations

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.

Original languageEnglish (US)
Article number113
JournalCurrent Diabetes Reports
Volume18
Issue number11
DOIs
StatePublished - Nov 1 2018
Externally publishedYes

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Keywords

  • Adjustable gastric band
  • Biliopancreatic diversion with duodenal switch
  • Gastric bypass
  • Gastric sleeve
  • Metabolic surgery
  • Type 2 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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