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The Comparative Effects of Bariatric Surgery on Weight and Type 2 Diabetes

hal.structure.identifierLaboratoire d'Economie de Dauphine [LEDa]
hal.structure.identifierLaboratoire d'Economie et de Gestion des Organisations de Santé [Legos]
dc.contributor.authorLévy, Pierre
HAL ID: 10931		*
hal.structure.identifierISCARE
dc.contributor.authorFried, Martin*
hal.structure.identifierDepartment of Endocrinology and Metabolic Diseases
dc.contributor.authorSantini, Ferruccio*
hal.structure.identifierWellcome Trust Clinical Research Facility
dc.contributor.authorFiner, Nick*
dc.date.accessioned2009-09-11T09:21:26Z
dc.date.available2009-09-11T09:21:26Z
dc.date.issued2007
dc.identifier.issn0960-8923
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/1548
dc.language.isoenen
dc.subjectweight loss
dc.subjectmorbid obesity
dc.subjecttype 2 diabetes mellitus
dc.subjectBariatric surgery
dc.subjectliterature review
dc.subjecttreatment outcome
dc.subject.ddc334en
dc.subject.classificationjelI.I1.I19en
dc.subject.classificationjelI.I1.I11en
dc.titleThe Comparative Effects of Bariatric Surgery on Weight and Type 2 Diabetes
dc.typeArticle accepté pour publication ou publié
dc.contributor.editoruniversityotherAddenbrooke's Hospital, Cambridge;Royaume-Uni
dc.contributor.editoruniversityotherISCARE, and 1st Medical Faculty, Charles University Prague;République tchèque
dc.contributor.editoruniversityotherDepartment of Endocrinology and Metabolic Diseases, Pisa University Hospital,;Italie
dc.description.abstractenBackground: Epidemiological evidence confirms that risk of developing type 2 diabetes is related to weight gain. Weight reduction is beneficial as relative risk is reduced to 0.13 for weight loss >20 kg. This raises the question of effectiveness of bariatric surgery on 1) weight loss and 2) diabetes-related outcomes in morbidly obese patients.Methods: We reviewed the literature using Medline. Only 2 meta-analyses reporting on both outcomes were included, as well as 50 systematic reviews or primary studies.Results: Meta-analyses mainly based on case series data as well as controlled studies confirm that bariatric surgery is highly effective in obtaining weight reduction in morbidly obese patients up to 60% of the excess weight, along with resolution of preoperative diabetes in more than 75% of cases. Among bariatric surgery techniques, malabsorptive procedures (biliopancreatic diversion and gastric bypass) appear to be more effective on both outcomes than restrictive procedures (gastroplasty and gastric banding).Conclusion: Even if more studies are needed to confirm current evidence, bariatric surgery is effective for controlling diabetes. It appears as an efficient strategy from economic modeling due to savings from reduction in diabetes-related costs.
dc.relation.isversionofjnlnameObesity Surgery
dc.relation.isversionofjnlvol17
dc.relation.isversionofjnlissue9
dc.relation.isversionofjnldate2007
dc.relation.isversionofjnlpages1248-1256
dc.relation.isversionofdoi10.1007/BF02802098
dc.description.sponsorshipprivateouien
dc.relation.isversionofjnlpublisherRapid Communications of Oxford
dc.subject.ddclabelEconomie socialeen
dc.description.ssrncandidatenon
dc.description.halcandidateoui
dc.description.readershiprecherche
dc.description.audienceInternational
dc.relation.Isversionofjnlpeerreviewedoui
dc.date.updated2016-03-25T11:59:19Z
hal.identifierhal-01293732*
hal.version1*
hal.update.actionupdateMetadata*
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