scholarly journals Current status of laparoscopic bariatric/metabolic surgery in Japan: The sixth nationwide survey by the Japan Consortium of Obesity and Metabolic Surgery

Author(s):  
Masayuki Ohta ◽  
Kazunori Kasama ◽  
Akira Sasaki ◽  
Takeshi Naitoh ◽  
Yosuke Seki ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Hideharu Shimizu ◽  
Poochong Timratana ◽  
Philip R. Schauer ◽  
Tomasz Rogula

Bariatric/metabolic surgery is considered an accepted treatment option for type 2 diabetes mellitus (T2DM) with body mass index (BMI)  ≧  35 kg/m2. Mounting evidence also shows that metabolic surgery is effective for T2DM with BMI  <  35 kg/m2. To evaluate current status of metabolic surgery, we reviewed the available clinical studies which described surgical treatment for T2DM with mean BMI  <  35 kg/m2. 18 studies with 477 patients were identified. 30% of the patients was insulin users. The follow-up period ranged from 6 to 216 months. The weight loss effect was reasonable, not excessive. Mean BMI decreased from 30.4 to 24.8 kg/m2. Remission of T2DM was achieved in 64.7% of the patients with fasting plasma glucose and glycated hemoglobin approaching slightly above normal range. Clinical T2DM status was an important factor when selecting the eligible candidates for metabolic surgery. Postoperative complication rate of 10.3% with mortality of 0% in the studies has been acceptable. Even though it would be premature at this point to state that metabolic surgery is an accepted treatment option for T2DM with BMI < 35 kg/m2, it is clear that a high proportion of T2DM patients will derive substantial benefit from metabolic surgery.


2018 ◽  
Vol 31 (2) ◽  
Author(s):  
Hady Razak Hady ◽  
Magdalena Luba ◽  
Mikolaj Czerniawski ◽  
Paweł Wojciak ◽  
Inna Diemieszczyk ◽  
...  

2021 ◽  
Author(s):  
Rishi Singhal ◽  
Tom Wiggins ◽  
Jonathan Super ◽  
Aayed Alqahtani ◽  
Evan P. Nadler ◽  
...  

Author(s):  
Bun Aoyama ◽  
Tomoaki Yatabe ◽  
Fabricio M. Locatelli ◽  
Marina Minami ◽  
Narufumi Suganuma ◽  
...  

Diabetes Care ◽  
2019 ◽  
Vol 42 (2) ◽  
pp. 186-188 ◽  
Author(s):  
Jonathan Q. Purnell ◽  
Bruce M. Wolfe

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