Diabetic and bariatric surgery: A review of the recent trends

Abstract

RYGB and biliopancreatic diversion (BPD) are effective surgical options for diabetes in the long term (>5 yrs). The efficacy of sleeve gastrectomy on diabetes in the long term is not yet known. Gastrointestinal procedures for non morbidly obese and non obese patients have shown great promise as surgical optional for diabetes, though their efficacy and safety in the long term are unknown. Novel endoscopic techniques and TANTALUS have shown some promise in resolving diabetes in obese patients. Bariatric surgery is very effective is resolving adolescent diabetes.

Change in consumption patterns for treatment-seeking patients with alcohol use disorder post-bariatric surgery

“…Bariatric surgery, and most commonly Roux-en-Y Gastric Bypass (RYGB) surgery [5], has been a major advance in the long-term treatment of medically complicated obesity. RYGB surgery is considered a safe procedure [6] that offers significant sustained weight loss with subsequent reduction in comorbid medical conditions such as diabetes mellitus [7], hyperlipidemia, hypertension [8], obstructive sleep apnea [9], cancer in obese women [10]; and improvement in quality of life [11]. However, recent controversial reports of an increased risk of alcoholism following successful RYGB have emerged [12,13].…”

Comment on: Should metabolic surgery be offered in morbidly obese patients with type I diabetes?

“…The finding that incretin mimetics may help T1DM management has directed attention toward metabolic surgery, which is already known to be an efficient alternative for uncontrolled T2DM patients, regardless of body mass index (BMI), by several distinct mechanisms. These include increased incretin secretion, bile acids, and change in microbiota, most of them weight loss independent [6]. The techniques that play important roles in the metabolic surgery arsenal are Rouxen-Y gastric bypass (RYGB), SG, and BPD-DS.…”

MANAGEMENT OF ENDOCRINE DISEASE: Metabolic effects of bariatric surgery

“…Many observational studies have reported long-term diabetes remission rates (14,37). A meta-analysis conducted by Buchwald et al (38) including 621 studies with 135 246 patients (all types of bariatric surgery) reported that 78% of diabetic patients had complete resolution (HbA1c !6.5% and no anti-diabetic drugs) and 86.6% had diabetes improvement.…”