Type 2 Diabetes and Role of Bariatric Surgery

Manish Parikh MD Associate Professor of Surgery, NYU School of Medicine Director of Bariatric Surgery, Bellevue Hospital Center 550 First Ave NBV 15 South 7 New York, NY 10010MedicalResearch.com Interview with:
Manish Parikh MD
Associate Professor of Surgery, NYU School of Medicine
Director of Bariatric Surgery, Bellevue Hospital Center
550 First Ave NBV 15 South 7
New York, NY 10010

MedicalResearch.com: What are the main findings of the study?

Dr. Parikh: The main findings of this study is that surgery is safe and effective in patients with type 2 diabetes and BMI under 35.  The overall estimated rate of diabetes remission was 55% at 12 months, ranging from 33% for the adjustable gastric banding, 49% for the “mini” gastric bypass, 54% for the sleeve gastrectomy, 64% for the gastric bypass, 71% for the biliopancreatic diversion, and 81% for ileal transposition.

MedicalResearch.com: Were any of the findings unexpected?

Dr. Parikh: No, our findings mirror the existing bariatric surgery literature regarding diabetes remission in patients with BMI over 35.

MedicalResearch.com: What should clinicians and patients take away from your report?

Dr. Parikh: Although the source data are limited and outcomes reported are only short-term, bariatric surgery is very effective in patients with type 2 diabetes who do not currently meet the NIH 1991 consensus criteria for bariatric surgery.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?

Dr. Parikh: The estimated remission rates in this systematic review and meta-analysis can help inform future trial designs.  Future studies should adopt uniform definitions of diabetes remission.

Citation:

Role of bariatric surgery as treatment for type 2 diabetes in patients who do not meet current NIH criteria: a systematic review and meta-analysis.

Parikh M, Issa R, Vieira D, McMacken M, Saunders JK, Ude-Welcome A, Schubart U, Ogedegbe G, Pachter HL.

Department of Surgery, Bellevue Hospital Center/NYU Langone Medical Center, New York, NY 10016,
J Am Coll Surg. 2013 Sep;217(3):527-32. doi: 10.1016/j.jamcollsurg.2013.04.023. Epub 2013 Jul 24.

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