6 voices in 10 minutes: Postoperative follow-up
DOI:
https://doi.org/10.47196/diab.v54i3Sup.272Keywords:
diabetes, treatmentAbstract
6 voices in 10 minutes: Strategies for weight loss in people with type 2 diabetes mellitus
Postoperative follow-up
In the late 1980s, researchers began to report that patients experienced improvement and/or remission in type 2 diabetes (T2D) after undergoing bariatric surgery (BS).
A meta-analysis, which included 19 (mostly observational) studies and 4070 patients, reported an overall rate of 78% of resolution in T2D after the BS. However, most of these studies were retrospective with a follow-up of only 1-3 years on average. The SOS study, with more than 15 years of follow-up, showed a T2D remission rate of 72% in two years but a drop of 36% in 10 years. In other words, T2D recurrence or relapse is a likely situation in the evolution of patients. Thus, it is very important to emphasize the need for controls in the long-term follow-up of operated patients.
References
- Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004;292:1724–37.
- Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes 3 year outcomes. N Engl J Med 2014;370:2002–13.
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