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Journal ArticleDOI

Individualized Metabolic Surgery Score: Procedure Selection Based on Diabetes Severity.

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TLDR
This is the largest reported cohort with long-term postoperative glycemic follow-up, which categorizes T2DM into 3 validated severity stages for evidence-based procedure selection, and categorizes RYGB was significantly more effective than SG, likely related to its more pronounced neurohormonal effects.
Abstract
Objective:To construct and validate a scoring system for evidence-based selection of bariatric and metabolic surgery procedures according to severity of type 2 diabetes (T2DM).Background:Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) account for >95% of bariatric procedures in United St

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Journal ArticleDOI

Metabolic and bariatric surgery: diabetes - a decade of discovery

Eric Veilleux, +1 more
TL;DR: This work is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author and the source.

Prédiction à long terme de la rémission et de la rechute du diabète de type 2 après bypass Roux-en-Y : développement et validation d’un score prédictif, le 5y-Ad-DiaRem

TL;DR: Le 5y-Ad-DiaRem predit precisement la DR a 5 ans, and semble utile pour identifier les patients a risque de rechute, en limitant par exemple the reprise de poids.
Journal ArticleDOI

[Will laparoscopic sleeve gastrectomy continue to exist as a stand-alone procedure? : A procedure critical perspective].

A Dietrich
- 01 Aug 2018 - 
TL;DR: Whether sleeve gastrectomy can still be considered a stand-alone procedure is critically discussed to ensure patients are informed of the procedure-specific risks, including the unforeseeable need for revision or redo surgery firstly due to weight regain or failing to reach the individual therapy target.
Journal ArticleDOI

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

TL;DR: In this paper, Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly used bariatric procedures worldwide, but emerging evidence indicates that RYGB is more effective than LSG in improving glycemic control and induces higher rates of longterm DM remission.
References
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Journal ArticleDOI

Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes

TL;DR: Five‐year outcome data showed that, among patients with type 2 diabetes and a BMI of 27 to 43, bariatric surgery plus intensive medical therapy was more effective thanintensive medical therapy alone in decreasing, or in some cases resolving, hyperglycemia.
Journal ArticleDOI

Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 3-Year Outcomes

TL;DR: Among obese patients with uncontrolled type 2 diabetes, 3 years of intensive medical therapy plus bariatric surgery resulted in glycemic control in significantly more patients than did medical therapy alone.
Journal ArticleDOI

Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial

TL;DR: Surgery is more effective than medical treatment for the long-term control of obese patients with type 2 diabetes and should be considered in the treatment algorithm of this disease, however, continued monitoring of glycaemic control is warranted because of potential relapse of hyperglycaemia.
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