Curing Diabetes Through Bariatric Surgery: Evolution of Our Understanding

摘要

abstract_textpPurpose of Review The goal of this review is to summarize available data on the impact of bariatric surgery on diabetes and to explore the mechanisms responsible for these outcomes./ppRecent Findings In randomized controlled trials and when compared to standard medical management, bariatric surgery is consistently superior with regards to weight loss and remission of type 2 diabetes. Remission rates are proportional to weight loss. The likelihood of remission from type 2 diabetes after bariatric surgery can be estimated from several available clinical parameters./ppSummary Bariatric surgery is superior in improving glycemic control when compared to standard medical management, but is associated with higher risk. However, for some patients with type 2 diabetes, the goal of sustained remission may only be achievable with surgery. The mechanisms by which this is achieved are multifold and continue to be the focus of ongoing studies./p/abstract_text