Journal ArticleDOI
Individualized Metabolic Surgery Score: Procedure Selection Based on Diabetes Severity.
Ali Aminian,Stacy A. Brethauer,Amin Andalib,Amy S. Nowacki,Amanda Jiménez,Ricard Corcelles,Zubaidah Nor Hanipah,Suriya Punchai,Deepak L. Bhatt,Sangeeta R. Kashyap,Bartolome Burguera,Antonio M. Lacy,Josep Vidal,Philip R. Schauer +13 more
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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 Stread more
Citations
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Journal ArticleDOI
Reply to letter to the editor re: prediction of type 2 diabetes remission after metabolic surgery: A comparison of Individualized metabolic surgery score and ABCD scores.
Journal ArticleDOI
Comparison of various prediction models in the effect of laparoscopic sleeve gastrectomy on type 2 diabetes mellitus in the Chinese population 5 years after surgery
TL;DR: Wang et al. as discussed by the authors evaluated the predictive efficacy of each model for long-term T2DM remission after laparoscopic sleeve gastrectomy (LSG) surgery by calculating the area under the curve (AUC), sensitivity, specificity, Youden index, positive predictive value (PPV), negative predictive values (NPV), and predicted-to-observed ratio and performed calibration using Hosmer-Lemeshow test for 11 prediction models.
Journal ArticleDOI
Data assimilation on mechanistic models of glucose metabolism predicts glycemic states in adolescents following bariatric surgery
Lauren R Richter,Benjamin I. Albert,Linying Zhang,Anna Ostropolets,Jeffrey L. Zitsman,Ilene Fennoy,David J. Albers,George Hripcsak +7 more
TL;DR: In this article , the authors leverage data assimilation paired with mechanistic models of glucose metabolism to estimate pre-operative physiological states of bariatric surgery patients, thereby identifying latent phenotypes of impaired glucose metabolism.
Book ChapterDOI
Gastric Bypass for Type 2 Diabetes Mellitus on BMI >35
TL;DR: Randomized studies showed that gastric bypass has equivalent and superior outcomes compared to biliopancreatic diversion and gastric banding, respectively, however, conflicting results were observed when it was compared to sleeve gastrectomy.
Book ChapterDOI
Laparoscopic Sleeve Gastrectomy
TL;DR: In this paper, the perioperative evaluation and management of bariatric patients as well as the surgical technique for performance of the laparoscopic sleeve gastrectomy were discussed. But, the authors did not discuss the surgical techniques for the Laparoscopic SEGG.
References
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Journal ArticleDOI
Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes
Philip R. Schauer,Deepak L. Bhatt,John P. Kirwan,Kathy Wolski,Ali Aminian,Stacy A. Brethauer,Sankar D. Navaneethan,Rishi P. Singh,Claire E. Pothier,Steven E. Nissen,Sangeeta R. Kashyap +10 more
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
Philip R. Schauer,Deepak L. Bhatt,John P. Kirwan,Kathy Wolski,Stacy A. Brethauer,Sankar D. Navaneethan,Ali Aminian,Claire E. Pothier,Steven E. Nissen,Sangeeta R. Kashyap,Abstr Act +10 more
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
Geltrude Mingrone,Geltrude Mingrone,Simona Panunzi,Andrea De Gaetano,Caterina Guidone,Amerigo Iaconelli,Giuseppe Nanni,Marco Castagneto,Stefan R. Bornstein,Francesco Rubino +9 more
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.
Journal ArticleDOI
How Do We Define Cure of Diabetes
John B. Buse,Sonia Caprio,William T. Cefalu,Antonio Ceriello,Stefano Del Prato,Silvio E. Inzucchi,Sue McLaughlin,Gordon L. Phillips,R. Paul Robertson,Francesco Rubino,Richard Kahn,M. Sue Kirkman +11 more
TL;DR: A consensus group of experts comprised of experts in pediatric and adult endocrinology, diabetes education, transplantation, metabolism, bariatric/metabolic surgery, and (for another perspective) hematology-oncology met in June 2009 to discuss issues.
Journal ArticleDOI
Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations
Francesco Rubino,David M. Nathan,Robert H. Eckel,Philip R. Schauer,K. George M.M. Alberti,Paul Zimmet,Stefano Del Prato,Linong Ji,Shaukat Sadikot,William H. Herman,Stephanie A. Amiel,Lee M. Kaplan,Gaspar Taroncher-Oldenburg,David E. Cummings +13 more
TL;DR: Although additional studies are needed to further demonstrate long-term benefits, there is sufficient clinical and mechanistic evidence to support inclusion of metabolic surgery among antidiabetes interventions for people with T2D and obesity.