Early Postoperative Outcomes of Metabolic Surgery to Treat Diabetes From Sites Participating in the ASMBS Bariatric Surgery Center of Excellence Program as Reported in the Bariatric Outcomes Longitudinal Database

DeMaria, Eric J.; Winegar, Deborah A.; Pate, Virginia; Hutcher, Neil E.; Ponce, Jaime; Pories, Walter J.

doi:10.1097/sla.0b013e3181f2aed0

Cited by 124 publications

(67 citation statements)

References 14 publications

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“…Scopinaro has recently performed the biliopancreatic diversion operation on diabetic patients with a BMI≤35 g/m 2 [2, 9, 10] with resolution of the diabetes and only modest weight loss. Comparable findings have been reported by DeMaria et al in patients undergoing laparoscopic adjustable gastric banding and gastric bypass [11].…”

supporting

confidence: 71%

An Invitation to Our Medical Colleagues: Work with Us

Buchwald

Scopinaro

2010

OBES SURG

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issue, dedicated to diabetes, cover-to-cover, reviewed the cited references, and carefully studied The Lancet editorial. To my amazement, there was not one mention of metabolic/ bariatric surgery, the only proven method of resolving the clinical and laboratory manifestations of type 2 diabetes in about 80% of patients [1][2][3][4]. Though this technology is not suitable or available to all type 2 diabetics, it is an alternative for millions of people and, most importantly, metabolic/bariatric surgery is a clinical laboratory for diabetes research.The Lancet reflects clinical acumen in this critical area of diabetes management and, thereby, serves the role of a global university for educating the medical profession. This role makes it imperative that The Lancet not ignore and omit mention of the evidencebased literature findings contributed by metabolic/ bariatric surgery.

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supporting

confidence: 71%

An Invitation to Our Medical Colleagues: Work with Us

Buchwald

Scopinaro

2010

OBES SURG

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“…-Patients with BMI ≥ 30 and < 35 kg/m 2 with T2DM may be considered for bariatric surgery on an individual basis, as there is evidence-based data supporting bariatric surgery benefits in regards to T2DM remission or improvement (EL A, B, C, D [48][49][50][51][52][53][54][55][56][57][58][59][60] ). However there is not yet available large enough number of high evidence level data to unquestionably support a clear, long-term benefit, especially for merely and self-standing surgical treatment/control of glycaemia, dyslipidaemia and/or other metabolic diseases.…”

Section: Bariatric Surgery and T2dmmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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“…37 Clinically, several lines of evidence demonstrate the relationship between mechanical loading and bone mineral density (BND). In this regard, weight bearing exercise has been shown to significantly increase BND and reduce fracture risk in postmenopausal women, 14 as well as in patients on a nonsurgical weight loss program. 38 In contrast, bone loss has been demonstrated in various conditions resulting in immobilization and unloading of the skeleton including spinal cord injury, 39 bed rest, 40 space flight, 41 and in animal studies, hindlimb unloading.…”

Section: Impact Of Bariatric Surgery On Bone Metabolismmentioning

confidence: 99%

“…The US Bariatric Outcomes Longitudinal Database reported 1-year complication rates of 4.6%, 10.8%, 14.9% and 25.7%, respectively, following aparoscopicadjusted gastric band placement, sleeve gastrectomy, LRYGB and biliopancreatic diversion. 14 In the longer term, nearly 10% of all LRYGB patients will experience serious complications and nearly one-half of all aparoscopic-adjusted gastric band procedures will fail. The contribution of nutritional factors is of paramount importance in the long-term.…”

Section: Introductionmentioning

confidence: 99%