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Review of Metabolic Surgery for Type 2 Diabetes in Patients with a BMI < 35 kgm2
Joint Authors
Rogula, Tomasz
Shimizu, Hideharu
Timratana, Poochong
Schauer, Philip R.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-05
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Bariatric/metabolic surgery is considered an accepted treatment option for type 2 diabetes mellitus (T2DM) with body mass index (BMI) ≧ 35 kg/m2.
Mounting evidence also shows that metabolic surgery is effective for T2DM with BMI < 35 kg/m2.
To evaluate current status of metabolic surgery, we reviewed the available clinical studies which described surgical treatment for T2DM with mean BMI < 35 kg/m2.
18 studies with 477 patients were identified.
30% of the patients was insulin users.
The follow-up period ranged from 6 to 216 months.
The weight loss effect was reasonable, not excessive.
Mean BMI decreased from 30.4 to 24.8 kg/m2.
Remission of T2DM was achieved in 64.7% of the patients with fasting plasma glucose and glycated hemoglobin approaching slightly above normal range.
Clinical T2DM status was an important factor when selecting the eligible candidates for metabolic surgery.
Postoperative complication rate of 10.3% with mortality of 0% in the studies has been acceptable.
Even though it would be premature at this point to state that metabolic surgery is an accepted treatment option for T2DM with BMI < 35 kg/m2, it is clear that a high proportion of T2DM patients will derive substantial benefit from metabolic surgery.
American Psychological Association (APA)
Shimizu, Hideharu& Timratana, Poochong& Schauer, Philip R.& Rogula, Tomasz. 2012. Review of Metabolic Surgery for Type 2 Diabetes in Patients with a BMI < 35 kgm2. Journal of Obesity،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-449492
Modern Language Association (MLA)
Shimizu, Hideharu…[et al.]. Review of Metabolic Surgery for Type 2 Diabetes in Patients with a BMI < 35 kgm2. Journal of Obesity No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-449492
American Medical Association (AMA)
Shimizu, Hideharu& Timratana, Poochong& Schauer, Philip R.& Rogula, Tomasz. Review of Metabolic Surgery for Type 2 Diabetes in Patients with a BMI < 35 kgm2. Journal of Obesity. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-449492
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449492