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Eur Endocrinol
2016[Mar]; 12
(1
): 37-38
PMID29632587
show ga
The International Diabetes Federation has recently published a position statement
on bariatric surgery. Facing a global diabetes crisis, it has added various types
of surgery on the gastrointestinal tract as powerful options among the
armamentarium to normalise glycaemia, avoid regular medications and decrease
costs in severely obese patients. Laparoscopic sleeve gastrectomy has been shown
to be effective for the treatment of type 2 diabetes, with extremely low
mortality and acceptable morbidity. It decreases caloric consumption, modifies
gut hormones, changes gastric emptying, and lowers glycaemia. In the long term,
if recurrences in weight or diabetes occur, it can be converted to a duodenal
switch, potentially reaching 90% of patients with partial or complete remission.